Magl inhibitors

ABSTRACT

Provided herein are piperazine carbamates and pharmaceutical compositions comprising said compounds. The subject compounds and compositions are useful as modulators of MAGL. Furthermore, the subject compounds and compositions are useful for the treatment of pain.

CROSS-REFERENCE

This application claims benefit of U.S. Provisional Application No. 62/671,985, filed on May 15, 2018, which is herein incorporated by reference in its entirety.

BACKGROUND

Monoacylglycerol lipase (MAGL) is an enzyme responsible for hydrolyzing endocannabinoids such as 2-AG (2-arachidonoylglycerol), an arachidonate based lipid, in the nervous system.

BRIEF SUMMARY OF THE INVENTION

This disclosure provides, for example, compounds and compositions which are modulators of MAGL, and their use as medicinal agents, processes for their preparation, and pharmaceutical compositions that include disclosed compounds as at least one active ingredient. The disclosure also provides for the use of disclosed compounds as medicaments and/or in the manufacture of medicaments for the inhibition of MAGL activity in warm-blooded animals such as humans.

In one aspect is a compound of Formula (I):

wherein:

-   -   R¹ is H or C₁₋₆alkyl;     -   R² is C₁₋₆alkyl;     -   R³ is H or C₁₋₆alkyl;     -   R⁴ and R⁵ are independently selected from H and C₁₋₆alkyl;     -   each R⁶ is independently selected from C₁₋₆alkyl, halogen, —CN,         C₁₋₆haloalkyl, —OR⁷, —C(O)NR⁸R⁹, C₃₋₆cycloalkyl,         C₂₋₉heterocycloalkyl, —C₁₋₆alkyl(C₂₋₉heterocycloalkyl), and         C₂₋₉heteroaryl, wherein C₃₋₆cycloalkyl, C₂₋₉heterocycloalkyl,         —C₁₋₆alkyl(C₂₋₉heterocycloalkyl), and C₂₋₉heteroaryl are         optionally substituted with one, two, or three groups         independently selected from halogen, C₁₋₆alkyl, C₁₋₆haloalkyl,         and C₁₋₆alkoxy;     -   each R⁷ is independently selected from H, C₁₋₆alkyl,         C₁₋₆haloalkyl, and C₃₋₆cycloalkyl;     -   each R⁸ and R⁹ is each independently selected from H, C₁₋₆alkyl,         C₃₋₆cycloalkyl, aryl, and heteroaryl; or R⁸ and R⁹, together         with the nitrogen to which they are attached, form a         heterocycloalkyl ring optionally substituted with one, two, or         three R¹⁰;     -   each R¹⁰ is independently selected from halogen, C₁₋₆alkyl,         C₁₋₆haloalkyl, oxo, —CN, and C₃₋₆cycloalkyl;     -   n is 0, 1, 2, 3, or 4; and     -   p is 0 or 1;         or a pharmaceutically acceptable salt or solvate thereof.

In some embodiments is a compound of Formula (I), or a pharmaceutically acceptable salt or solvate thereof, wherein p is 0. In some embodiments is a compound of Formula (I), or a pharmaceutically acceptable salt or solvate thereof, wherein p is 1. In some embodiments is a compound of Formula (I), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁴ and R⁵ are H. In some embodiments is a compound of Formula (I), or a pharmaceutically acceptable salt or solvate thereof, wherein R³ is H. In some embodiments is a compound of Formula (I), or a pharmaceutically acceptable salt or solvate thereof, wherein R³ is C₁₋₆alkyl. In some embodiments is a compound of Formula (I), or a pharmaceutically acceptable salt or solvate thereof, wherein R³ is —CH₃. In some embodiments is a compound of Formula (I), or a pharmaceutically acceptable salt or solvate thereof, wherein R² is —CH₃. In some embodiments is a compound of Formula (I), or a pharmaceutically acceptable salt or solvate thereof, wherein each R⁶ is independently selected from C₁₋₆alkyl, halogen, —CN, C₁₋₆haloalkyl, —OR⁷, C₃₋₆cycloalkyl, C₂₋₉heterocycloalkyl, and C₂₋₉heteroaryl, wherein C₃₋₆cycloalkyl, C₂₋₉heterocycloalkyl, and C₂₋₉heteroaryl are optionally substituted with one or two groups independently selected from halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, and C₁₋₆alkoxy. In some embodiments is a compound of Formula (I), or a pharmaceutically acceptable salt or solvate thereof, wherein each R⁶ is independently selected from C₁₋₆alkyl, halogen, —CN, C₁₋₆haloalkyl, —OR⁷, and C₃₋₆cycloalkyl. In some embodiments is a compound of Formula (I), or a pharmaceutically acceptable salt or solvate thereof, wherein each R⁷ is independently selected from C₁₋₆alkyl and C₁₋₆haloalkyl. In some embodiments is a compound of Formula (I), or a pharmaceutically acceptable salt or solvate thereof, wherein each R⁶ is independently selected from C₁₋₆alkyl, halogen, —CN, and C₁₋₆haloalkyl. In some embodiments is a compound of Formula (I), or a pharmaceutically acceptable salt or solvate thereof, wherein each R⁶ is independently selected from halogen and C₁₋₆haloalkyl. In some embodiments is a compound of Formula (I), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 or 2. In some embodiments is a compound of Formula (I), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1. In some embodiments is a compound of Formula (I), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 2. In some embodiments is a compound of Formula (I), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 0. In some embodiments is a compound of Formula (I), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is H.

In another aspect is a compound of Formula (II):

wherein:

-   -   R¹ is —R⁴, —OR³, —SR⁴, —S(O)₂R⁴, —N(R⁴)(R⁵), —NH(R^(4′)), or         —C≡C—(CR⁶R⁷)—R⁸;     -   R^(1′) is C₃₋₆cycloalkyl, C₂₋₉heterocycloalkyl, or         C₂₋₉heteroaryl, wherein C₃₋₆cycloalkyl, C₂₋₉heterocycloalkyl, or         C₂₋₉heteroaryl are optionally substituted with one, two, or         three groups independently selected from halogen, C₁₋₆alkyl,         C₁₋₆haloalkyl, and C₁₋₆alkoxy; each R² is independently selected         from C₁₋₆alkyl, halogen, —CN, C₁₋₆haloalkyl,         —C₁₋₆alkyl(heterocycloalkyl), —OR¹⁷, and —C(O)NR¹⁸R¹⁹;     -   R³ is —(CR⁶R⁷)_(m)—R⁸, —(CR⁶R⁷)_(q)—Y—(CR⁶R⁷)_(q)—R⁸, or         —(CR⁶R⁷)_(t)—C₃₋₆cycloalkyl-R⁸;     -   R⁴ is —(CR⁶R⁷)_(m)—R⁸, —(CR⁶R⁷)_(v)—C(O)OH, or         —(CR⁶R⁷)_(p)—Y—(CR⁶R⁷)_(q)—R⁸;     -   R^(4′) is —(CR⁶R⁷)_(m)—R^(8′), —(CR⁶R⁷)_(p)—Y—(CR⁶R⁷)_(q)—R⁸,         —C₄₋₆alkyl-C(O)OH, —C₃₋₆cycloalkyl-C(O)OH, or         —C₁₋₆alkyl-C₃₋₆cycloalkyl-C(O)OH;     -   Y is —O— or —N(R²²)—;     -   R⁵ is C₁₋₆alkyl or —CH₂-phenyl optionally substituted with one,         two, or three groups independently selected from halogen,         C₁₋₆alkyl, C₁₋₆haloalkyl, and C₁₋₆alkoxy;     -   each R⁶ and R⁷ is each independently selected from H, F, and         C₁₋₆alkyl; or R⁶ and R⁷, together with the carbon to which they         are attached, form a C₃₋₆cycloalkyl ring;     -   R⁸ is —C(O)OR⁹, —C(O)R¹⁰, or —C(O)O—(CR¹²R¹³)—OC(O)R¹¹;     -   R^(8′) is —C(O)OR^(9′), —C(O)R^(10′), or         —C(O)O—(CR¹²R¹³)—OC(O)R¹¹;     -   R⁹ is H or C₁₋₆alkyl;     -   R^(9′) is C₁₋₆alkyl;     -   R¹⁰ is C₁₋₆alkyl or —NHSO₂R²¹;     -   R^(10′) is C₂₋₆alkyl or —NHSO₂R²¹;     -   R¹¹ is C₁₋₆alkyl or C₁₋₆alkoxy;     -   R¹² and R¹³ is each independently H or C₁₋₆alkyl;     -   R¹⁴ is —(CR¹⁵R¹⁶)_(m)—R⁸ or —(CR⁶R⁷)_(p)—Y—(CR⁶R⁷)_(q)—R⁸;     -   each R¹⁵ and R¹⁶ is each independently selected from H, F, and         C₁₋₆alkyl;     -   each R¹⁷ is independently selected from H, C₁₋₆alkyl,         C₁₋₆haloalkyl, and C₃₋₆cycloalkyl;     -   each R¹⁸ and R¹⁹ is each independently selected from H,         C₁₋₆alkyl, C₃₋₆cycloalkyl, aryl, and heteroaryl; or R¹⁸ and R¹⁹,         together with the nitrogen to which they are attached, form a         heterocycloalkyl ring optionally substituted with one, two, or         three R²⁰;     -   each R²⁰ is independently selected from halogen, C₁₋₆alkyl,         C₁₋₆haloalkyl, oxo, —CN, and C₃₋₆cycloalkyl;     -   R²¹ is C₁₋₆alkyl or C₃₋₆cycloalkyl;     -   R²² is H, C₁₋₆alkyl, or —SO₂R²³;     -   R²³ is C₁₋₆alkyl;     -   m is 1, 2, 3 or 4;     -   n is 0, 1, 2, or 3;     -   p is 2, 3, or 4;     -   q is 1, 2, or 3;     -   t is 0, 1, or 2; and     -   v is 3 or 4;         or a pharmaceutically acceptable salt or solvate thereof.

In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —OR³. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R³ is —(CR⁶R⁷)_(m)—R⁸. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein m is 1, 2, or 3. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein each R⁶ and R⁷ is each independently selected from H and C₁₋₆alkyl; or R⁶ and R⁷, together with the carbon to which they are attached, form a C₃₋₆cycloalkyl ring. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)OR⁹. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁹ is H. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁹ is C₁₋₆alkyl. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)R¹⁰. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹⁰ is —NHSO₂R²¹. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R²¹ is C₁₋₆alkyl. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R²¹ is C₃₋₆cycloalkyl. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein each R² is independently selected from C₁₋₆alkyl, halogen, and C₁₋₆haloalkyl. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 0. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(1′) is C₃₋₆cycloalkyl, C₂₋₉heterocycloalkyl, or C₂₋₉heteroaryl, wherein C₃₋₆cycloalkyl, C₂₋₉heterocycloalkyl, or C₂₋₉heteroaryl are optionally substituted with one or two groups independently selected from halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, and C₁₋₆alkoxy. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(1′) is C₃₋₆cycloalkyl, C₂₋₉heterocycloalkyl, or C₂₋₉heteroaryl, wherein C₃₋₆cycloalkyl, C₂₋₉heterocycloalkyl, or C₂₋₉heteroaryl are unsubstituted. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(1′) is unsubstituted C₃₋₆cycloalkyl. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(1′) is unsubstituted C₂₋₉heterocycloalkyl. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(1′) is unsubstituted C₂₋₉heteroaryl.

In another aspect is a compound selected from:

or a pharmaceutically acceptable salt or solvate thereof.

In another aspect is a compound selected from:

or a pharmaceutically acceptable salt or solvate thereof.

In another aspect is a compound selected from:

or a pharmaceutically acceptable salt or solvate thereof.

In another embodiment is a pharmaceutical composition comprising a compound of Formula (I) or (II) described herein, or a pharmaceutically acceptable salt or solvate thereof, and at least one pharmaceutically acceptable excipient.

In another embodiment is a method of treating pain in a patient in need thereof comprising administering to the patient a therapeutically effective amount of a compound of Formula (I) or (II) described herein, or a pharmaceutically acceptable salt or solvate thereof. In some embodiments, the pain is neuropathic pain. In some embodiments, the pain is inflammatory pain.

In another embodiment is a method of treating a disease or disorder in a patient in need thereof comprising administering to the patient a therapeutically effective amount of a compound of Formula (I) or (II) described herein, or a pharmaceutically acceptable salt or solvate thereof, wherein the disease or disorder is selected from the group consisting of epilepsy/seizure disorder, multiple sclerosis, neuromyelitis optica (NMO), Tourette syndrome, Alzheimer's disease, and abdominal pain associated with irritable bowel syndrome. In some embodiments, the disease or disorder is epilepsy/seizure disorder. In some embodiments, the disease or disorder is multiple sclerosis. In some embodiments, the disease or disorder is neuromyelitis optica (NMO). In some embodiments, the disease or disorder is Tourette syndrome. In some embodiments, the disease or disorder is Alzheimer's disease. In some embodiments, the disease or disorder is abdominal pain associated with irritable bowel syndrome.

In another embodiment is a method of treating attention deficit and hyperactivity disorder (ADHD) in a patient in need thereof comprising administering to the patient a therapeutically effective amount of a compound of Formula (I) or (II) described herein, or a pharmaceutically acceptable salt or solvate thereof.

DETAILED DESCRIPTION OF THE INVENTION

This disclosure is directed, at least in part, to compounds capable of inhibiting MAGL.

As used herein and in the appended claims, the singular forms “a,” “and,” and “the” include plural referents unless the context clearly dictates otherwise. Thus, for example, reference to “an agent” includes a plurality of such agents, and reference to “the cell” includes reference to one or more cells (or to a plurality of cells) and equivalents thereof. When ranges are used herein for physical properties, such as molecular weight, or chemical properties, such as chemical formulae, all combinations and subcombinations of ranges and specific embodiments therein are intended to be included. The term “about” when referring to a number or a numerical range means that the number or numerical range referred to is an approximation within experimental variability (or within statistical experimental error), and thus the number or numerical range varies between 1% and 15% of the stated number or numerical range. The term “comprising” (and related terms such as “comprise” or “comprises” or “having” or “including”) is not intended to exclude that which in other certain embodiments, for example, an embodiment of any composition of matter, composition, method, or process, or the like, described herein, may “consist of” or “consist essentially of” the described features.

Definitions

As used in the specification and appended claims, unless specified to the contrary, the following terms have the meaning indicated below.

As used herein, C₁-C_(x) includes C₁-C₂, C₁-C₃ . . . C₁-C_(x). C₁-C_(x) refers to the number of carbon atoms that make up the moiety to which it designates (excluding optional substituents).

“Amino” refers to the —NH₂ radical.

“Cyano” refers to the —CN radical.

“Nitro” refers to the —NO₂ radical.

“Oxa” refers to the —O— radical.

“Oxo” refers to the ═O radical.

“Thioxo” refers to the ═S radical.

“Imino” refers to the ═N—H radical.

“Oximo” refers to the ═N—OH radical.

“Alkyl” or “alkylene” refers to a straight or branched hydrocarbon chain radical consisting solely of carbon and hydrogen atoms, containing no unsaturation, having from one to fifteen carbon atoms (e.g., C₁-C₁₅ alkyl). In certain embodiments, an alkyl comprises one to thirteen carbon atoms (e.g., C₁-C₁₃ alkyl). In certain embodiments, an alkyl comprises one to eight carbon atoms (e.g., C₁-C₈ alkyl). In other embodiments, an alkyl comprises one to six carbon atoms (e.g., C₁-C₆ alkyl). In other embodiments, an alkyl comprises one to five carbon atoms (e.g., C₁-C₅ alkyl). In other embodiments, an alkyl comprises one to four carbon atoms (e.g., C₁-C₄ alkyl). In other embodiments, an alkyl comprises one to three carbon atoms (e.g., C₁-C₃ alkyl). In other embodiments, an alkyl comprises one to two carbon atoms (e.g., C₁-C₂ alkyl). In other embodiments, an alkyl comprises one carbon atom (e.g., C₁ alkyl). In other embodiments, an alkyl comprises five to fifteen carbon atoms (e.g., C₅-C₁₅ alkyl). In other embodiments, an alkyl comprises five to eight carbon atoms (e.g., C₅-C₈ alkyl). In other embodiments, an alkyl comprises two to five carbon atoms (e.g., C₂-C₅ alkyl). In other embodiments, an alkyl comprises three to five carbon atoms (e.g., C₃-C₅ alkyl). In other embodiments, the alkyl group is selected from methyl, ethyl, 1-propyl (n-propyl), 1-methylethyl (iso-propyl), 1-butyl (n-butyl), 1-methylpropyl (sec-butyl), 2-methylpropyl (iso-butyl), 1,1-dimethylethyl (tert-butyl), 1-pentyl (n-pentyl). The alkyl is attached to the rest of the molecule by a single bond. Unless stated otherwise specifically in the specification, an alkyl group is optionally substituted by one or more of the following substituents: halo, cyano, nitro, oxo, thioxo, imino, oximo, trimethylsilanyl, —OR^(a), —SR^(a), —OC(O)R^(a), —N(R^(a))₂, —C(O)R^(a), —C(O)OR^(a), —C(O)N(R^(a))₂, —N(R^(a))C(O)OR^(f), —OC(O)—NR^(a)R^(f), —N(R^(a))C(O)R^(f), —N(R^(a))S(O)_(t)R^(f) (where t is 1 or 2), —S(O)_(t)OR^(a) (where t is 1 or 2), —S(O)_(t)R^(f) (where t is 1 or 2) and —S(O)_(t)N(R^(a))₂ (where t is 1 or 2) where each R^(a) is independently hydrogen, alkyl, fluoroalkyl, cycloalkyl, aryl, aralkyl, heterocycloalkyl, heteroaryl or heteroarylalkyl, and each R^(f) is independently alkyl, fluoroalkyl, cycloalkyl, aryl, aralkyl, heterocycloalkyl, heteroaryl or heteroarylalkyl.

“Alkoxy” refers to a radical bonded through an oxygen atom of the formula —O-alkyl, where alkyl is an alkyl chain as defined above.

“Alkenyl” refers to a straight or branched hydrocarbon chain radical group consisting solely of carbon and hydrogen atoms, containing at least one carbon-carbon double bond, and having from two to twelve carbon atoms. In certain embodiments, an alkenyl comprises two to eight carbon atoms. In other embodiments, an alkenyl comprises two to four carbon atoms. The alkenyl is attached to the rest of the molecule by a single bond, for example, ethenyl (i.e., vinyl), prop-1-enyl (i.e., allyl), but-1-enyl, pent-1-enyl, penta-1,4-dienyl, and the like. Unless stated otherwise specifically in the specification, an alkenyl group is optionally substituted by one or more of the following substituents: halo, cyano, nitro, oxo, thioxo, imino, oximo, trimethylsilanyl, —OR^(a), —SR^(a), —OC(O)—R^(f), —N(R^(a))₂, —C(O)R^(a), —C(O)OR^(a), —C(O)N(R^(a))₂, —N(R^(a))C(O)OR^(f), —OC(O)—NR^(a)R^(f), —N(R^(a)) C(O)R^(f), —N(R^(a))S(O)R^(f) (where t is 1 or 2), —S(O)_(t)OR^(a) (where t is 1 or 2), —S(O)_(t)R^(f) (where t is 1 or 2) and —S(O)_(t)N(R^(a))₂ (where t is 1 or 2) where each R^(a) is independently hydrogen, alkyl, fluoroalkyl, cycloalkyl, aryl, aralkyl, heterocycloalkyl, heteroaryl or heteroarylalkyl, and each R^(f) is independently alkyl, fluoroalkyl, cycloalkyl, aryl, aralkyl, heterocycloalkyl, heteroaryl or heteroarylalkyl.

“Alkynyl” refers to a straight or branched hydrocarbon chain radical group consisting solely of carbon and hydrogen atoms, containing at least one carbon-carbon triple bond, having from two to twelve carbon atoms. In certain embodiments, an alkynyl comprises two to eight carbon atoms. In other embodiments, an alkynyl has two to four carbon atoms. The alkynyl is attached to the rest of the molecule by a single bond, for example, ethynyl, propynyl, butynyl, pentynyl, hexynyl, and the like. Unless stated otherwise specifically in the specification, an alkynyl group is optionally substituted by one or more of the following substituents: halo, cyano, nitro, oxo, thioxo, imino, oximo, trimethylsilanyl, —OR^(a), —SR^(a), —OC(O)R^(a), —N(R^(a))₂, —C(O)R^(a), —C(O)OR^(a), —C(O)N(R^(a))₂, —N(R^(a))C(O)OR^(f), —OC(O)—NR^(a)R^(f), —N(R^(a))C(O)R^(f), —N(R^(a))S(O)_(t)R^(f) (where t is 1 or 2), —S(O)_(t)OR^(a) (where t is 1 or 2), —S(O)_(t)R^(f) (where t is 1 or 2) and —S(O)_(t)N(R^(a))₂ (where t is 1 or 2) where each R^(a) is independently hydrogen, alkyl, fluoroalkyl, cycloalkyl, aryl, aralkyl, heterocycloalkyl, heteroaryl or heteroarylalkyl, and each R^(f) is independently alkyl, fluoroalkyl, cycloalkyl, aryl, aralkyl, heterocycloalkyl, heteroaryl or heteroarylalkyl.

“Aryl” refers to a radical derived from an aromatic monocyclic or multicyclic hydrocarbon ring system by removing a hydrogen atom from a ring carbon atom. The aromatic monocyclic or multicyclic hydrocarbon ring system contains only hydrogen and carbon from six to eighteen carbon atoms, where at least one of the rings in the ring system is fully unsaturated, i.e., it contains a cyclic, delocalized (4n+2) π-electron system in accordance with the Hückel theory. The ring system from which aryl groups are derived include, but are not limited to, groups such as benzene, fluorene, indane, indene, tetralin and naphthalene. Unless stated otherwise specifically in the specification, the term “aryl” or the prefix “ar-” (such as in “aralkyl”) is meant to include aryl radicals optionally substituted by one or more substituents independently selected from alkyl, alkenyl, alkynyl, halo, fluoroalkyl, cyano, nitro, aryl, aralkyl, aralkenyl, aralkynyl, cycloalkyl, heterocycloalkyl, heteroaryl, heteroarylalkyl, —R^(b)—OR^(a), —R^(b)—OC(O)—R^(a), —R^(b)—OC(O)—OR^(a), —R^(b)—OC(O)—N(R^(a))₂, —R^(b)—N(R^(a))₂, —R^(b)—C(O) R^(a), —R^(b)—C(O)OR^(a), —R^(b)—C(O)N(R^(a))₂, —R^(b)—O—R^(c)—C(O)N(R^(a))₂, —R^(b)—N(R^(a))C(O)OR^(a), —R^(b)—N(R^(a))C(O)R^(a), —R^(b)—N(R^(a))S(O)_(t)R^(a) (where t is 1 or 2), —R^(b)—S(O)_(t)OR^(a) (where t is 1 or 2), —R^(b)—S(O)_(t)R^(a) (where t is 1 or 2) and —R^(b)—S(O)_(t)N(R^(a))₂ (where t is 1 or 2), where each R^(a) is independently hydrogen, alkyl, fluoroalkyl, cycloalkyl, cycloalkylalkyl, aryl (optionally substituted with one or more halo groups), aralkyl, heterocycloalkyl, heteroaryl or heteroarylalkyl, each R^(b) is independently a direct bond or a straight or branched alkylene or alkenylene chain, and R^(c) is a straight or branched alkylene or alkenylene chain.

“Aryloxy” refers to a radical bonded through an oxygen atom of the formula —O-aryl, where aryl is as defined above.

“Aralkyl” refers to a radical of the formula —R^(c)-aryl where R^(c) is an alkylene chain as defined above, for example, methylene, ethylene, and the like. The alkylene chain part of the aralkyl radical is optionally substituted as described above for an alkylene chain. The aryl part of the aralkyl radical is optionally substituted as described above for an aryl group.

“Aralkyloxy” refers to a radical bonded through an oxygen atom of the formula —O-aralkyl, where aralkyl is as defined above.

“Aralkenyl” refers to a radical of the formula —R^(d)-aryl where R^(d) is an alkenylene chain as defined above. The aryl part of the aralkenyl radical is optionally substituted as described above for an aryl group. The alkenylene chain part of the aralkenyl radical is optionally substituted as defined above for an alkenylene group.

“Aralkynyl” refers to a radical of the formula —R^(e)-aryl, where R^(e) is an alkynylene chain as defined above. The aryl part of the aralkynyl radical is optionally substituted as described above for an aryl group. The alkynylene chain part of the aralkynyl radical is optionally substituted as defined above for an alkynylene chain.

“Cycloalkyl” refers to a stable non-aromatic monocyclic or polycyclic hydrocarbon radical consisting solely of carbon and hydrogen atoms, which includes fused or bridged ring systems, having from three to fifteen carbon atoms. In certain embodiments, a cycloalkyl comprises three to ten carbon atoms. In other embodiments, a cycloalkyl comprises five to seven carbon atoms. The cycloalkyl is attached to the rest of the molecule by a single bond. Cycloalkyls are saturated, (i.e., containing single C—C bonds only) or partially unsaturated (i.e., containing one or more double bonds or triple bonds.) Examples of monocyclic cycloalkyls include, e.g., cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, cycloheptyl, and cyclooctyl. In certain embodiments, a cycloalkyl comprises three to eight carbon atoms (e.g., C₃-C₈ cycloalkyl). In other embodiments, a cycloalkyl comprises three to seven carbon atoms (e.g., C₃-C₇ cycloalkyl). In other embodiments, a cycloalkyl comprises three to six carbon atoms (e.g., C₃-C₆ cycloalkyl). In other embodiments, a cycloalkyl comprises three to five carbon atoms (e.g., C₃-C₅ cycloalkyl). In other embodiments, a cycloalkyl comprises three to four carbon atoms (e.g., C₃-C₄ cycloalkyl). A partially unsaturated cycloalkyl is also referred to as “cycloalkenyl.” Examples of monocyclic cycloalkenyls include, e.g., cyclopentenyl, cyclohexenyl, cycloheptenyl, and cyclooctenyl. Polycyclic cycloalkyl radicals include, for example, adamantyl, norbornyl (i.e., bicyclo[2.2.1]heptanyl), norbornenyl, decalinyl, 7,7-dimethyl-bicyclo[2.2.1]heptanyl, and the like. Unless otherwise stated specifically in the specification, the term “cycloalkyl” is meant to include cycloalkyl radicals optionally substituted by one or more substituents independently selected from alkyl, alkenyl, alkynyl, halo, fluoroalkyl, cyano, nitro, aryl, aralkyl, aralkenyl, aralkynyl, cycloalkyl, heterocycloalkyl, heteroaryl, heteroarylalkyl, —R^(b)—OR^(a), —R^(b)—OC(O)—R^(a), —R^(b)—OC(O)—OR^(a), —R^(b)—OC(O)—N(R^(a))₂, —R^(b)—N(R^(a))₂, —R^(b)—C(O) R^(a), —R^(b)—C(O)OR^(a), —R^(b)—C(O)N(R^(a))₂, —R^(b)—O—R^(c)—C(O)N(R^(a))₂, —R^(b)—N(R^(a))C(O)OR^(a), —R^(b)—N(R^(a))C(O)R^(a), —R^(b)—N(R^(a))S(O)_(t)R^(a) (where t is 1 or 2), —R^(b)—S(O)_(t)OR^(a) (where t is 1 or 2), —R^(b)—S(O)_(t)R^(a) (where t is 1 or 2) and —R^(b)—S(O)_(t)N(R^(a))₂ (where t is 1 or 2), where each R^(a) is independently hydrogen, alkyl, fluoroalkyl, cycloalkyl, cycloalkylalkyl, aryl (optionally substituted with one or more halo groups), aralkyl, heterocycloalkyl, heteroaryl or heteroarylalkyl, each R^(b) is independently a direct bond or a straight or branched alkylene or alkenylene chain, and R^(c) is a straight or branched alkylene or alkenylene chain.

“Halo” or “halogen” refers to bromo, chloro, fluoro or iodo substituents.

“Haloalkyl” refers to an alkyl radical, as defined above, that is substituted by one or more halo radicals, as defined above.

“Fluoroalkyl” refers to an alkyl radical, as defined above, that is substituted by one or more fluoro radicals, as defined above, for example, trifluoromethyl, difluoromethyl, fluoromethyl, 2,2,2-trifluoroethyl, 1-fluoromethyl-2-fluoroethyl, and the like. The alkyl part of the fluoroalkyl radical are optionally substituted as defined above for an alkyl group.

“Haloalkoxy” refers to an alkoxy radical, as defined above, that is substituted by one or more halo radicals, as defined above.

“Heterocycloalkyl” refers to a stable 3- to 18-membered non-aromatic ring radical that comprises two to twelve carbon atoms and from one to six heteroatoms selected from nitrogen, oxygen and sulfur. Unless stated otherwise specifically in the specification, the heterocycloalkyl radical is a monocyclic, bicyclic, tricyclic or tetracyclic ring system, which include fused, spiro, or bridged ring systems. The heteroatoms in the heterocycloalkyl radical are optionally oxidized. One or more nitrogen atoms, if present, are optionally quaternized. The heterocycloalkyl radical is partially or fully saturated. In some embodiments, the heterocycloalkyl is attached to the rest of the molecule through any atom of the ring(s). Examples of such heterocycloalkyl radicals include, but are not limited to, dioxolanyl, thienyl[1,3]dithianyl, decahydroisoquinolyl, imidazolinyl, imidazolidinyl, isothiazolidinyl, isoxazolidinyl, morpholinyl, octahydroindolyl, octahydroisoindolyl, 2-oxopiperazinyl, 2-oxopiperidinyl, 2-oxopyrrolidinyl, oxazolidinyl, piperidinyl, piperazinyl, 4-piperidonyl, pyrrolidinyl, pyrazolidinyl, quinuclidinyl, thiazolidinyl, tetrahydrofuryl, trithianyl, tetrahydropyranyl, thiomorpholinyl, thiamorpholinyl, 1-oxo-thiomorpholinyl, and 1,1-dioxo-thiomorpholinyl. Unless stated otherwise specifically in the specification, the term “heterocycloalkyl” is meant to include heterocycloalkyl radicals as defined above that are optionally substituted by one or more substituents selected from alkyl, alkenyl, alkynyl, halo, fluoroalkyl, oxo, thioxo, cyano, nitro, aryl, aralkyl, aralkenyl, aralkynyl, cycloalkyl, heterocycloalkyl, heteroaryl, heteroarylalkyl, —R^(b)—OR^(a), —R^(b)—OC(O)—R^(a), —R^(b)—OC(O)—OR^(a), —R^(b)—OC(O)—N(R^(a))₂, —R^(b)—N(R^(a))₂, —R^(b)—C(O) R^(a), —R^(b)—C(O)OR^(a), —R^(b)—C(O)N(R^(a))₂, —R^(b)—O—R^(c)—C(O)N(R^(a))₂, —R^(b)—N(R^(a))C(O)OR^(a), —R^(b)—N(R^(a))C(O)R^(a), —R^(b)—N(R^(a))S(O)_(t)R^(a) (where t is 1 or 2), —R^(b)—S(O)_(t)OR^(a) (where t is 1 or 2), —R^(b)—S(O)_(t)R^(a) (where t is 1 or 2) and —R^(b)—S(O)_(t)N(R^(a))₂ (where t is 1 or 2), where each R^(a) is independently hydrogen, alkyl, fluoroalkyl, cycloalkyl, cycloalkylalkyl, aryl, aralkyl, heterocycloalkyl, heteroaryl or heteroarylalkyl, each R^(b) is independently a direct bond or a straight or branched alkylene or alkenylene chain, and R^(c) is a straight or branched alkylene or alkenylene chain.

“Heteroaryl” refers to a radical derived from a 5- to 18-membered aromatic ring radical that comprises one to seventeen carbon atoms and from one to six heteroatoms selected from nitrogen, oxygen and sulfur. As used herein, the heteroaryl radical is a monocyclic, bicyclic, tricyclic or tetracyclic ring system, wherein at least one of the rings in the ring system is fully unsaturated, i.e., it contains a cyclic, delocalized (4n+2) π-electron system in accordance with the Hückel theory. Heteroaryl includes fused or bridged ring systems. The heteroatom(s) in the heteroaryl radical is optionally oxidized. One or more nitrogen atoms, if present, are optionally quaternized. The heteroaryl is attached to the rest of the molecule through any atom of the ring(s). Unless stated otherwise specifically in the specification, the term “heteroaryl” is meant to include heteroaryl radicals as defined above that are optionally substituted by one or more substituents selected from alkyl, alkenyl, alkynyl, halo, haloalkyl, oxo, thioxo, cyano, nitro, aryl, aralkyl, aralkenyl, aralkynyl, cycloalkyl, heterocycloalkyl, heteroaryl, heteroarylalkyl, —R^(b)—OR^(a), —R^(b)—OC(O)—R^(a), —R^(b)—OC(O)—OR^(a), —R^(b)—OC(O)—N(R^(a))₂, —R^(b)—N(R^(a))₂, —R^(b)—C(O)R^(a), —R^(b)—C(O)OR^(a), —R^(b)—C(O)N(R^(a))₂, —R^(b)—O—R^(c)—C(O)N(R^(a)), —R^(b)—N(R^(a))C(O)OR^(a), —R^(b)—N(R^(a))C(O)R^(a), —R^(b)—N(R^(a))S(O)R^(a) (where t is 1 or 2), —R^(b)—S(O)_(t)OR^(a) (where t is 1 or 2), —R^(b)—S(O)_(t)R^(a) (where t is 1 or 2) and —R^(b)—S(O)_(t)N(R^(a))₂ (where t is 1 or 2), where each R^(a) is independently hydrogen, alkyl, fluoroalkyl, cycloalkyl, cycloalkylalkyl, aryl, aralkyl, heterocycloalkyl, heteroaryl or heteroarylalkyl, each R^(b) is independently a direct bond or a straight or branched alkylene or alkenylene chain, and R^(c) is a straight or branched alkylene or alkenylene chain.

“N-heteroaryl” refers to a heteroaryl radical as defined above containing at least one nitrogen and where the point of attachment of the heteroaryl radical to the rest of the molecule is through a nitrogen atom in the heteroaryl radical. An N-heteroaryl radical is optionally substituted as described above for heteroaryl radicals.

“C-heteroaryl” refers to a heteroaryl radical as defined above and where the point of attachment of the heteroaryl radical to the rest of the molecule is through a carbon atom in the heteroaryl radical. A C-heteroaryl radical is optionally substituted as described above for heteroaryl radicals.

“Heteroaryloxy” refers to radical bonded through an oxygen atom of the formula —O— heteroaryl, where heteroaryl is as defined above.

“Heteroarylalkyl” refers to a radical of the formula —R^(c)-heteroaryl, where R^(c) is an alkylene chain as defined above. If the heteroaryl is a nitrogen-containing heteroaryl, the heteroaryl is optionally attached to the alkyl radical at the nitrogen atom. The alkylene chain of the heteroarylalkyl radical is optionally substituted as defined above for an alkylene chain. The heteroaryl part of the heteroarylalkyl radical is optionally substituted as defined above for a heteroaryl group.

“Heteroarylalkoxy” refers to a radical bonded through an oxygen atom of the formula —O—R^(c)-heteroaryl, where R^(c) is an alkylene chain as defined above. If the heteroaryl is a nitrogen-containing heteroaryl, the heteroaryl is optionally attached to the alkyl radical at the nitrogen atom. The alkylene chain of the heteroarylalkoxy radical is optionally substituted as defined above for an alkylene chain. The heteroaryl part of the heteroarylalkoxy radical is optionally substituted as defined above for a heteroaryl group.

In some embodiments, the compounds disclosed herein contain one or more asymmetric centers and thus give rise to enantiomers, diastereomers, and other stereoisomeric forms that are defined, in terms of absolute stereochemistry, as (R)- or (S)—. Unless stated otherwise, it is intended that all stereoisomeric forms of the compounds disclosed herein are contemplated by this disclosure. When the compounds described herein contain alkene double bonds, and unless specified otherwise, it is intended that this disclosure includes both E and Z geometric isomers (e.g., cis or trans.) Likewise, all possible isomers, as well as their racemic and optically pure forms, and all tautomeric forms are also intended to be included. The term “geometric isomer” refers to E or Z geometric isomers (e.g., cis or trans) of an alkene double bond. The term “positional isomer” refers to structural isomers around a central ring, such as ortho-, meta-, and para-isomers around a benzene ring.

A “tautomer” refers to a molecule wherein a proton shift from one atom of a molecule to another atom of the same molecule is possible. In certain embodiments, the compounds presented herein exist as tautomers. In circumstances where tautomerization is possible, a chemical equilibrium of the tautomers will exist. The exact ratio of the tautomers depends on several factors, including physical state, temperature, solvent, and pH. Some examples of tautomeric equilibrium include:

“Optional” or “optionally” means that a subsequently described event or circumstance may or may not occur and that the description includes instances when the event or circumstance occurs and instances in which it does not. For example, “optionally substituted aryl” means that the aryl radical are or are not substituted and that the description includes both substituted aryl radicals and aryl radicals having no substitution.

“Pharmaceutically acceptable salt” includes both acid and base addition salts. A pharmaceutically acceptable salt of any one of the pyrazole compounds described herein is intended to encompass any and all pharmaceutically suitable salt forms. Preferred pharmaceutically acceptable salts of the compounds described herein are pharmaceutically acceptable acid addition salts and pharmaceutically acceptable base addition salts.

“Pharmaceutically acceptable acid addition salt” refers to those salts which retain the biological effectiveness and properties of the free bases, which are not biologically or otherwise undesirable, and which are formed with inorganic acids such as hydrochloric acid, hydrobromic acid, sulfuric acid, nitric acid, phosphoric acid, hydroiodic acid, hydrofluoric acid, phosphorous acid, and the like. Also included are salts that are formed with organic acids such as aliphatic mono- and dicarboxylic acids, phenyl-substituted alkanoic acids, hydroxy alkanoic acids, alkanedioic acids, aromatic acids, aliphatic and. aromatic sulfonic acids, etc. and include, for example, acetic acid, trifluoroacetic acid, propionic acid, glycolic acid, pyruvic acid, oxalic acid, maleic acid, malonic acid, succinic acid, fumaric acid, tartaric acid, citric acid, benzoic acid, cinnamic acid, mandelic acid, methanesulfonic acid, ethanesulfonic acid, p-toluenesulfonic acid, salicylic acid, and the like. Exemplary salts thus include sulfates, pyrosulfates, bisulfates, sulfites, bisulfites, nitrates, phosphates, monohydrogenphosphates, dihydrogenphosphates, metaphosphates, pyrophosphates, chlorides, bromides, iodides, acetates, trifluoroacetates, propionates, caprylates, isobutyrates, oxalates, malonates, succinate suberates, sebacates, fumarates, maleates, mandelates, benzoates, chlorobenzoates, methylbenzoates, dinitrobenzoates, phthalates, benzenesulfonates, toluenesulfonates, phenylacetates, citrates, lactates, malates, tartrates, methanesulfonates, and the like. Also contemplated are salts of amino acids, such as arginates, gluconates, and galacturonates (see, for example, Berge S. M et al., “Pharmaceutical Salts,” Journal of Pharmaceutical Science, 66:1-19 (1997). Acid addition salts of basic compounds are prepared by contacting the free base forms with a sufficient amount of the desired acid to produce the salt.

“Pharmaceutically acceptable base addition salt” refers to those salts that retain the biological effectiveness and properties of the free acids, which are not biologically or otherwise undesirable. These salts are prepared from addition of an inorganic base or an organic base to the free acid. In some embodiments, pharmaceutically acceptable base addition salts are formed with metals or amines, such as alkali and alkaline earth metals or organic amines. Salts derived from inorganic bases include, but are not limited to, sodium, potassium, lithium, ammonium, calcium, magnesium, iron, zinc, copper, manganese, aluminum salts and the like. Salts derived from organic bases include, but are not limited to, salts of primary, secondary, and tertiary amines, substituted amines including naturally occurring substituted amines, cyclic amines and basic ion exchange resins, for example, isopropylamine, trimethylamine, diethylamine, triethylamine, tripropylamine, ethanolamine, diethanolamine, 2-dimethylaminoethanol, 2-diethylaminoethanol, dicyclohexylamine, lysine, arginine, histidine, caffeine, procaine, N,N-dibenzylethylenediamine, chloroprocaine, hydrabamine, choline, betaine, ethylenediamine, ethylenedianiline, N-methylglucamine, glucosamine, methylglucamine, theobromine, purines, piperazine, piperidine, N-ethylpiperidine, polyamine resins and the like. See Berge et al., supra.

As used herein, “treatment” or “treating” or “palliating” or “ameliorating” are used interchangeably herein. These terms refers to an approach for obtaining beneficial or desired results including but not limited to therapeutic benefit and/or a prophylactic benefit. By “therapeutic benefit” is meant eradication or amelioration of the underlying disorder being treated. Also, a therapeutic benefit is achieved with the eradication or amelioration of one or more of the physiological symptoms associated with the underlying disorder such that an improvement is observed in the patient, notwithstanding that the patient is still afflicted with the underlying disorder. For prophylactic benefit, the compositions are administered to a patient at risk of developing a particular disease, or to a patient reporting one or more of the physiological symptoms of a disease, even though a diagnosis of this disease has not been made.

Compounds

The compounds of Formula (I), (Ia), (II), (IIa), or (IIb) described herein which are modulators of MAGL. These compounds, and compositions comprising these compounds, are useful for the treatment of pain. In some embodiments, the compounds of Formula (I), (Ia), (II), (IIa), or (IIb) described herein are useful for treating epilepsy/seizure disorder, multiple sclerosis, neuromyelitis optica (NMO), Tourette syndrome, Alzheimer's disease, or abdominal pain associated with irritable bowel syndrome.

In some embodiments is a compound of Formula (I):

wherein:

-   -   R¹ is H or C₁₋₆alkyl;     -   R² is C₁₋₆alkyl;     -   R³ is H or C₁₋₆alkyl;     -   R⁴ and R⁵ are independently selected from H and C₁₋₆alkyl;     -   each R⁶ is independently selected from C₁₋₆alkyl, halogen, —CN,         C₁₋₆haloalkyl, —OR⁷, —C(O)NR⁸R⁹, C₃₋₆cycloalkyl,         C₂₋₉heterocycloalkyl, —C₁₋₆alkyl(C₂₋₉heterocycloalkyl), and         C₂₋₉heteroaryl, wherein C₃₋₆cycloalkyl, C₂₋₉heterocycloalkyl,         —C₁₋₆alkyl(C₂₋₉heterocycloalkyl), and C₂₋₉heteroaryl are         optionally substituted with one, two, or three groups         independently selected from halogen, C₁₋₆alkyl, C₁₋₆haloalkyl,         and C₁₋₆alkoxy;     -   each R⁷ is independently selected from H, C₁₋₆alkyl,         C₁₋₆haloalkyl, and C₃₋₆cycloalkyl;     -   each R⁸ and R⁹ is each independently selected from H, C₁₋₆alkyl,         C₃₋₆cycloalkyl, aryl, and heteroaryl; or R⁸ and R⁹, together         with the nitrogen to which they are attached, form a         heterocycloalkyl ring optionally substituted with one, two, or         three R¹⁰;     -   each R¹⁰ is independently selected from halogen, C₁₋₆alkyl,         C₁₋₆haloalkyl, oxo, —CN, and C₃₋₆cycloalkyl;     -   n is 0, 1, 2, 3, or 4; and     -   p is 0 or 1;         or a pharmaceutically acceptable salt or solvate thereof.

In some embodiments is a compound of Formula (I), or a pharmaceutically acceptable salt or solvate thereof, wherein p is 0. In some embodiments is a compound of Formula (I), or a pharmaceutically acceptable salt or solvate thereof, wherein p is 1. In some embodiments is a compound of Formula (I), or a pharmaceutically acceptable salt or solvate thereof, wherein p is 1 and R⁴ and R⁵ are H. In some embodiments is a compound of Formula (I), or a pharmaceutically acceptable salt or solvate thereof, wherein R³ is H. In some embodiments is a compound of Formula (I), or a pharmaceutically acceptable salt or solvate thereof, wherein R³ is C₁₋₆alkyl. In some embodiments is a compound of Formula (I), or a pharmaceutically acceptable salt or solvate thereof, wherein R³ is —CH₃. In some embodiments is a compound of Formula (I), or a pharmaceutically acceptable salt or solvate thereof, wherein R³ is H and R² is —CH₃. In some embodiments is a compound of Formula (I), or a pharmaceutically acceptable salt or solvate thereof, wherein R³ is C₁₋₆alkyl and R² is —CH₃. In some embodiments is a compound of Formula (I), or a pharmaceutically acceptable salt or solvate thereof, wherein R³ is —CH₃ and R² is —CH₃. In some embodiments is a compound of Formula (I), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is H. In some embodiments is a compound of Formula (I), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is C₁₋₆alkyl. In some embodiments is a compound of Formula (I), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —CH₃.

In some embodiments is a compound of Formula (I), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 0. In some embodiments is a compound of Formula (I), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1. In some embodiments is a compound of Formula (I), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 2.

In some embodiments is a compound of Formula (I), or a pharmaceutically acceptable salt or solvate thereof, wherein each R⁶ is independently selected from C₁₋₆alkyl, halogen, —CN, C₁₋₆haloalkyl, —OR⁷, C₃₋₆cycloalkyl, C₂₋₉heterocycloalkyl, and C₂₋₉heteroaryl, wherein C₃₋₆cycloalkyl, C₂₋₉heterocycloalkyl, and C₂₋₉heteroaryl are optionally substituted with one or two groups independently selected from halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, and C₁₋₆alkoxy. In some embodiments is a compound of Formula (I), or a pharmaceutically acceptable salt or solvate thereof, wherein each R⁶ is independently selected from C₁₋₆alkyl, halogen, —CN, C₁₋₆haloalkyl, —OR⁷, and C₃₋₆cycloalkyl. In some embodiments is a compound of Formula (I), or a pharmaceutically acceptable salt or solvate thereof, wherein each R⁶ is independently selected from C₁₋₆alkyl, halogen, —CN, C₁₋₆haloalkyl, —OR⁷, and C₃₋₆cycloalkyl, wherein each R⁷ is independently selected from C₁₋₆alkyl and C₁₋₆haloalkyl. In some embodiments is a compound of Formula (I), or a pharmaceutically acceptable salt or solvate thereof, wherein each R⁶ is independently selected from C₁₋₆alkyl, halogen, —CN, and C₁₋₆haloalkyl.

In some embodiments is a compound of Formula (I), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R⁶ is independently selected from C₁₋₆alkyl, halogen, —CN, C₁₋₆haloalkyl, —OR⁷, C₃₋₆cycloalkyl, C₂₋₉heterocycloalkyl, and C₂₋₉heteroaryl, wherein C₃₋₆cycloalkyl, C₂₋₉heterocycloalkyl, and C₂₋₉heteroaryl are optionally substituted with one or two groups independently selected from halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, and C₁₋₆alkoxy. In some embodiments is a compound of Formula (I), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R⁶ is C₁₋₆alkyl. In some embodiments is a compound of Formula (I), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R⁶ is —CH₃. In some embodiments is a compound of Formula (I), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R⁶ is halogen. In some embodiments is a compound of Formula (I), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R⁶ is —Cl. In some embodiments is a compound of Formula (I), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R⁶ is —F. In some embodiments is a compound of Formula (I), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R⁶ is —CN. In some embodiments is a compound of Formula (I), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R⁶ is C₁₋₆haloalkyl. In some embodiments is a compound of Formula (I), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R⁶ is —CF₃. In some embodiments is a compound of Formula (I), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R⁶ is —OR⁷. In some embodiments is a compound of Formula (I), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1, R⁶ is —OR⁷, and R⁷ is selected from C₁₋₆alkyl and C₁₋₆haloalkyl. In some embodiments is a compound of Formula (I), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1, R⁶ is —OR⁷, and R⁷ is H. In some embodiments is a compound of Formula (I), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1, R⁶ is —OR⁷, and R⁷ is C₁₋₆alkyl. In some embodiments is a compound of Formula (I), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1, R⁶ is —OR⁷, and R⁷ is —CH₃. In some embodiments is a compound of Formula (I), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1, R⁶ is —OR⁷, and R⁷ is C₁₋₆haloalkyl. In some embodiments is a compound of Formula (I), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1, R⁶ is —OR⁷, and R⁷ is —CF₃. In some embodiments is a compound of Formula (I), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1, R⁶ is —OR⁷, and R⁷ is C₃₋₆cycloalkyl. In some embodiments is a compound of Formula (I), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R⁶ is C₃₋₆cycloalkyl optionally substituted with one, two, or three groups independently selected from halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, and C₁₋₆alkoxy. In some embodiments is a compound of Formula (I), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R⁶ is C₃₋₆cycloalkyl substituted with one or two groups independently selected from halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, and C₁₋₆alkoxy. In some embodiments is a compound of Formula (I), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R⁶ is unsubstituted C₃₋₆cycloalkyl. In some embodiments is a compound of Formula (I), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R⁶ is C₂₋₉heterocycloalkyl optionally substituted with one, two, or three groups independently selected from halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, and C₁₋₆alkoxy. In some embodiments is a compound of Formula (I), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R⁶ is C₂₋₉heterocycloalkyl substituted with one or two groups independently selected from halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, and C₁₋₆alkoxy. In some embodiments is a compound of Formula (I), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R⁶ is unsubstituted C₂₋₉heterocycloalkyl. In some embodiments is a compound of Formula (I), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R⁶ is C₂₋₉heteroaryl optionally substituted with one, two, or three groups independently selected from halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, and C₁₋₆alkoxy. In some embodiments is a compound of Formula (I), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R⁶ is C₂₋₉heteroaryl substituted with one or two groups independently selected from halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, and C₁₋₆alkoxy. In some embodiments is a compound of Formula (I), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R⁶ is unsubstituted C₂₋₉heteroaryl.

In some embodiments is a compound of Formula (Ia):

wherein:

-   -   each R⁶ is independently selected from C₁₋₆alkyl, halogen, —CN,         C₁₋₆haloalkyl, —OR⁷, —C(O)NR⁸R⁹, C₃₋₆cycloalkyl,         C₂₋₉heterocycloalkyl, —C₁₋₆alkyl(C₂₋₉heterocycloalkyl), and C₂₋₉         heteroaryl, wherein C₃₋₆cycloalkyl, C₂₋₉heterocycloalkyl,         —C₁₋₆alkyl(C₂₋₉heterocycloalkyl), and C₂₋₉heteroaryl are         optionally substituted with one, two, or three groups         independently selected from halogen, C₁₋₆alkyl, C₁₋₆haloalkyl,         and C₁₋₆alkoxy;     -   each R⁷ is independently selected from H, C₁₋₆alkyl,         C₁₋₆haloalkyl, and C₃₋₆cycloalkyl;     -   each R⁸ and R⁹ is each independently selected from H, C₁₋₆alkyl,         C₃₋₆cycloalkyl, aryl, and heteroaryl; or R⁸ and R⁹, together         with the nitrogen to which they are attached, form a         heterocycloalkyl ring optionally substituted with one, two, or         three R¹⁰;     -   each R¹⁰ is independently selected from halogen, C₁₋₆alkyl,         C₁₋₆haloalkyl, oxo, —CN, and C₃₋₆cycloalkyl; and     -   n is 0, 1, 2, 3, or 4;         or a pharmaceutically acceptable salt or solvate thereof.

In some embodiments is a compound of Formula (Ia), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 0. In some embodiments is a compound of Formula (Ia), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1. In some embodiments is a compound of Formula (Ia), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 2.

In some embodiments is a compound of Formula (Ia), or a pharmaceutically acceptable salt or solvate thereof, wherein each R⁶ is independently selected from C₁₋₆alkyl, halogen, —CN, C₁₋₆haloalkyl, —OR⁷, C₃₋₆cycloalkyl, C₂₋₉heterocycloalkyl, and C₂₋₉heteroaryl, wherein C₃₋₆cycloalkyl, C₂₋₉heterocycloalkyl, and C₂₋₉heteroaryl are optionally substituted with one or two groups independently selected from halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, and C₁₋₆alkoxy. In some embodiments is a compound of Formula (Ia), or a pharmaceutically acceptable salt or solvate thereof, wherein each R⁶ is independently selected from C₁₋₆alkyl, halogen, —CN, C₁₋₆haloalkyl, —OR⁷, and C₃₋₆cycloalkyl. In some embodiments is a compound of Formula (Ia), or a pharmaceutically acceptable salt or solvate thereof, wherein each R⁶ is independently selected from C₁₋₆alkyl, halogen, —CN, C₁₋₆haloalkyl, —OR⁷, and C₃₋₆cycloalkyl, wherein each R⁷ is independently selected from C₁₋₆alkyl and C₁₋₆haloalkyl. In some embodiments is a compound of Formula (Ia), or a pharmaceutically acceptable salt or solvate thereof, wherein each R⁶ is independently selected from C₁₋₆alkyl, halogen, —CN, and C₁₋₆haloalkyl.

In some embodiments is a compound of Formula (Ia), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R⁶ is independently selected from C₁₋₆alkyl, halogen, —CN, C₁₋₆haloalkyl, —OR⁷, C₃₋₆cycloalkyl, C₂₋₉heterocycloalkyl, and C₂₋₉heteroaryl, wherein C₃₋₆cycloalkyl, C₂₋₉heterocycloalkyl, and C₂₋₉heteroaryl are optionally substituted with one or two groups independently selected from halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, and C₁₋₆alkoxy. In some embodiments is a compound of Formula (Ia), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R⁶ is C₁₋₆alkyl. In some embodiments is a compound of Formula (Ia), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R⁶ is —CH₃. In some embodiments is a compound of Formula (Ia), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R⁶ is halogen. In some embodiments is a compound of Formula (Ia), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R⁶ is —Cl. In some embodiments is a compound of Formula (Ia), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R⁶ is —F. In some embodiments is a compound of Formula (Ia), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R⁶ is —CN. In some embodiments is a compound of Formula (Ia), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R⁶ is C₁₋₆haloalkyl. In some embodiments is a compound of Formula (Ia), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R⁶ is —CF₃. In some embodiments is a compound of Formula (Ia), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R⁶ is —OR⁷. In some embodiments is a compound of Formula (Ia), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1, R⁶ is —OR⁷, and R⁷ is selected from C₁₋₆alkyl and C₁₋₆haloalkyl. In some embodiments is a compound of Formula (Ia), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1, R⁶ is —OR⁷, and R⁷ is H. In some embodiments is a compound of Formula (Ia), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1, R⁶ is —OR⁷, and R⁷ is C₁₋₆alkyl. In some embodiments is a compound of Formula (Ia), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1, R⁶ is —OR⁷, and R⁷ is —CH₃. In some embodiments is a compound of Formula (Ia), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1, R⁶ is —OR⁷, and R⁷ is C₁₋₆haloalkyl. In some embodiments is a compound of Formula (Ia), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1, R⁶ is —OR⁷, and R⁷ is —CF₃. In some embodiments is a compound of Formula (Ia), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1, R⁶ is —OR⁷, and R⁷ is C₃₋₆cycloalkyl. In some embodiments is a compound of Formula (Ia), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R⁶ is C₃₋₆cycloalkyl optionally substituted with one, two, or three groups independently selected from halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, and C₁₋₆alkoxy. In some embodiments is a compound of Formula (Ia), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R⁶ is C₃₋₆cycloalkyl substituted with one or two groups independently selected from halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, and C₁₋₆alkoxy. In some embodiments is a compound of Formula (Ia), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R⁶ is unsubstituted C₃₋₆cycloalkyl. In some embodiments is a compound of Formula (Ia), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R⁶ is C₂₋₉heterocycloalkyl optionally substituted with one, two, or three groups independently selected from halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, and C₁₋₆alkoxy. In some embodiments is a compound of Formula (Ia), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R⁶ is C₂₋₉heterocycloalkyl substituted with one or two groups independently selected from halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, and C₁₋₆alkoxy. In some embodiments is a compound of Formula (Ia), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R⁶ is unsubstituted C₂₋₉heterocycloalkyl. In some embodiments is a compound of Formula (Ia), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R⁶ is C₂₋₉heteroaryl optionally substituted with one, two, or three groups independently selected from halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, and C₁₋₆alkoxy. In some embodiments is a compound of Formula (Ia), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R⁶ is C₂₋₉heteroaryl substituted with one or two groups independently selected from halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, and C₁₋₆alkoxy. In some embodiments is a compound of Formula (Ia), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R⁶ is unsubstituted C₂₋₉heteroaryl.

In some embodiments is a compound of Formula (II):

wherein:

-   -   R¹ is —R⁴, —OR³, —SR⁴, —S(O)₂R⁴, —N(R⁴)(R⁵), —NH(R^(4′)), or         —C≡C—(CR⁶R⁷)—R⁸; R^(1′) is C₃₋₆cycloalkyl, C₂₋₉heterocycloalkyl,         or C₂₋₉heteroaryl, wherein C₃₋₆cycloalkyl, C₂₋₉heterocycloalkyl,         or C₂₋₉heteroaryl are optionally substituted with one, two, or         three groups independently selected from halogen, C₁₋₆alkyl,         C₁₋₆haloalkyl, and C₁₋₆alkoxy;     -   each R² is independently selected from C₁₋₆alkyl, halogen, —CN,         C₁₋₆haloalkyl, —C₁₋₆alkyl(heterocycloalkyl), —OR¹⁷, and         —C(O)NR¹⁸R¹⁹;     -   R³ is —(CR⁶R⁷)_(m)—R⁸, —(CR⁶R⁷)_(p)—Y—(CR⁶R⁷)_(q)—R⁸, or         —(CR⁶R⁷)_(t)—C₃₋₆cycloalkyl-R⁸;     -   R⁴ is —(CR⁶R⁷)_(m)—R^(8′), —(CR⁶R⁷)_(v)—C(O)OH, or         —(CR⁶R⁷)_(p)—Y—(CR⁶R⁷)_(q)—R⁸;     -   R^(4′) is —(CR⁶R⁷)_(m)—R^(8′), —(CR⁶R⁷)_(p)—Y—(CR⁶R⁷)_(q)—R⁸,         —C₄₋₆alkyl-C(O)OH, —C₃₋₆cycloalkyl-C(O)OH, or         —C₁₋₆alkyl-C₃₋₆cycloalkyl-C(O)OH;     -   Y is —O— or —N(R²²)—;     -   R⁵ is C₁₋₆alkyl or —CH₂-phenyl optionally substituted with one,         two, or three groups independently selected from halogen,         C₁₋₆alkyl, C₁₋₆haloalkyl, and C₁₋₆alkoxy; each R⁶ and R⁷ is each         independently selected from H, F, and C₁₋₆alkyl; or R⁶ and R⁷,         together with the carbon to which they are attached, form a         C₃₋₆cycloalkyl ring;     -   R⁸ is —C(O)OR⁹, —C(O)R¹⁰, or —C(O)O—(CR¹²R¹³)—OC(O)R¹¹;     -   R^(8′) is —C(O)OR^(9′), —C(O)R^(10′), or         —C(O)O—(CR¹²R¹³)—OC(O)R¹¹;     -   R⁹ is H or C₁₋₆alkyl;     -   R^(9′) is C₁₋₆alkyl;     -   R¹⁰ is C₁₋₆alkyl or —NHSO₂R²¹;     -   R^(10′) is C₂₋₆alkyl or —NHSO₂R²¹;     -   R¹¹ is C₁₋₆alkyl or C₁₋₆alkoxy;     -   R¹² and R¹³ is each independently H or C₁₋₆alkyl;     -   R¹⁴ is —(CR¹⁵R¹⁶)_(m)—R⁸ or —(CR⁶R⁷)_(p)—Y—(CR⁶R⁷)_(q)—R⁸;     -   each R¹⁵ and R¹⁶ is each independently selected from H, F, and         C₁₋₆alkyl;     -   each R¹⁷ is independently selected from H, C₁₋₆alkyl,         C₁₋₆haloalkyl, and C₃₋₆cycloalkyl;     -   each R¹⁸ and R¹⁹ is each independently selected from H,         C₁₋₆alkyl, C₃₋₆cycloalkyl, aryl, and heteroaryl; or R¹⁸ and R¹⁹,         together with the nitrogen to which they are attached, form a         heterocycloalkyl ring optionally substituted with one, two, or         three R²⁰;     -   each R²⁰ is independently selected from halogen, C₁₋₆alkyl,         C₁₋₆haloalkyl, oxo, —CN, and C₃₋₆cycloalkyl;     -   R²¹ is C₁₋₆alkyl or C₃₋₆cycloalkyl;     -   R²² is H, C₁₋₆alkyl, or —SO₂R²³;     -   R²³ is C₁₋₆alkyl;     -   m is 1, 2, 3 or 4;     -   n is 0, 1, 2, or 3;     -   p is 2, 3, or 4;     -   q is 1, 2, or 3;     -   t is 0, 1, or 2; and     -   v is 3 or 4;         or a pharmaceutically acceptable salt or solvate thereof.

In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(1′) is C₃₋₆cycloalkyl, C₂₋₉heterocycloalkyl, or C₂₋₉heteroaryl, wherein C₃₋₆cycloalkyl, C₂₋₉heterocycloalkyl, or C₂₋₉heteroaryl are optionally substituted with one or two groups independently selected from halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, and C₁₋₆alkoxy. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(1′) is C₃₋₆cycloalkyl optionally substituted with one or two groups independently selected from halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, and C₁₋₆alkoxy. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(1′) is C₂₋₉heterocycloalkyl optionally substituted with one or two groups independently selected from halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, and C₁₋₆alkoxy. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(1′) is C₂₋₉heteroaryl optionally substituted with one or two groups independently selected from halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, and C₁₋₆alkoxy. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(1′) is C₃₋₆cycloalkyl, C₂₋₉heterocycloalkyl, or C₂₋₉heteroaryl, wherein C₃₋₆cycloalkyl, C₂₋₉heterocycloalkyl, or C₂₋₉heteroaryl are unsubstituted. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(1′) is unsubstituted C₃₋₆cycloalkyl. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(1′) is unsubstituted C₂₋₉heterocycloalkyl. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(1′) is unsubstituted C₂₋₉heteroaryl.

In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —NH(R^(4′)). In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —NH(R^(4′)) and R^(4′) is —(CR⁶R⁷)_(m)—R^(8′). In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —NH(R^(4′)), R^(4′) is —(CR⁶R⁷)_(m)—R^(8′), and each R⁶ and R⁷ is each independently selected from H and C₁₋₆alkyl. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —NH(R^(4′)), R^(4′) is —(CR⁶R⁷)_(m)—R^(8′), and each R⁶ and R⁷ is H. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein m is 1, 2, or 3. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein m is 1. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein m is 2. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein m is 3. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein m is 4. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(8′) is —C(O)OR^(9′). In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(8′) is —C(O)OR^(9′) and R^(9′) is —CH₃. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(8′) is —C(O)OR^(9′) and R^(9′) is —CH₂CH₃. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(8′) is —C(O)R^(10′). In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(8′) is —C(O)R^(10′) and R^(10′) is —NHSO₂R²¹. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(8′) is —C(O)R^(10′), R^(10′) is —NHSO₂R²¹, and R²¹ is C₁₋₆alkyl. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(8′) is —C(O)R^(10′), R^(10′) is —NHSO₂R²¹, and R²¹ is C₃₋₆cycloalkyl. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(8′) is —C(O)O—(CR¹²R¹³)—OC(O)R¹¹. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(8′) is —C(O)O—(CR¹²R¹³)—OC(O)R¹¹ and R¹¹ is C₁₋₆alkyl. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(8′) is —C(O)O—(CR¹²R¹³)—OC(O)R¹¹ and R¹¹ is C₁₋₆alkoxy. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —NH(R^(4′)) and R^(4′) is —CH₂CH₂C(O)OCH₃. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —NH(R^(4′)) and R^(4′) is —CH₂CH₂C(O)OCH₂CH₃. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —NH(R^(4′)) and R^(4′) is —CH₂CH₂C(O)OC(CH₃)₃. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —NH(R^(4′)) and R^(4′) is —CH₂CH₂CH₂C(O)OCH₃. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —NH(R^(4′)) and R^(4′) is —CH₂CH₂CH₂C(O)OCH₂CH₃. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —NH(R^(4′)) and R^(4′) is —CH₂CH₂CH₂C(O)OC(CH₃)₃.

In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —NH(R^(4′)) and R^(4′) is —(CR⁶R⁷)_(p)—Y—(CR⁶R⁷)_(q)—R⁸. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —NH(R^(4′)), R^(4′) is —(CR⁶R⁷)_(p)—Y—(CR⁶R⁷)_(q)—R⁸, and each R⁶ and R⁷ is each independently selected from H and C₁₋₆alkyl. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —NH(R^(4′)), R^(4′) is —(CR⁶R⁷)_(p)—Y—(CR⁶R⁷)_(q)—R⁸, and each R⁶ and R⁷ is H. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —NH(R⁴), R^(4′) is —(CR⁶R⁷)_(p)—Y—(CR⁶R⁷)_(q)—R⁸, and Y is —O—. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —NH(R⁴), R^(4′) is —(CR⁶R⁷)_(p)—Y—(CR⁶R⁷)_(q)—R⁸, and Y is —N(R²²)—. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —NH(R^(4′)), R^(4′) is —(CR⁶R⁷)_(p)—Y—(CR⁶R⁷)_(q)—R⁸, Y is —N(R²²)—, and R²² is —SO₂R²³. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein q is 1. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein p is 2. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)OR⁹. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)OR⁹ and R⁹ is H. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)OR⁹ and R⁹ is C₁₋₆alkyl. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)OR⁹ and R⁹ is —CH₃. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)OR⁹ and R⁹ is —CH₂CH₃. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)R¹⁰. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)R¹⁰ and R¹⁰ is —NHSO₂R²¹. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)R¹⁰, R¹⁰ is —NHSO₂R²¹, and R²¹ is C₁₋₆alkyl. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)R¹⁰, R¹⁰ is —NHSO₂R²¹, and R²¹ is C₃₋₆cycloalkyl. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)O—(CR¹²R¹³)—OC(O)R¹¹. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)O—(CR¹²R¹³)—OC(O)R¹¹ and R¹¹ is C₁₋₆alkyl. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)O—(CR¹²R¹³)—OC(O)R¹¹ and R¹¹ is C₁₋₆alkoxy. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —NH(R^(4′)) and R^(4′) is —CH₂CH₂OCH₂C(O)OH. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —NH(R^(4′)) and R^(4′) is —CH₂CH₂N(SO₂CH₃)CH₂C(O)OH. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —NH(R^(4′)) and R^(4′) is —CH₂CH₂CH₂C(O)OCH(CH₃)OC(O)OCHCH₂CH₃. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —NH(R^(4′)) and R^(4′) is —CH₂CH₂CH₂C(O)OCH(CH₃)OC(O)OCH(CH₃)₂. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —NH(R^(4′)) and R^(4′) is —CH₂CH₂CH₂C(O)OCH₂OC(O)OC(CH₃)₃. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —NH(R^(4′)) and R^(4′) is —CH₂CH₂CH₂C(O)OCH(CH₃)OC(O)CH(CH₃)₂.

In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —NH(R^(4′)) and R^(4′) is —C₄₋₆alkyl-C(O)OH. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —NH(R^(4′)) and R^(4′) is —CH₂CH₂CH₂CH₂C(O)OH. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —NH(R^(4′)) and R^(4′) is —CH₂CH(CH₃)CH₂C(O)OH.

In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —NH(R^(4′)) and R^(4′) is —C₃₋₆cycloalkyl-C(O)OH. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —NH(R^(4′)) and R^(4′) is —C₁₋₆alkyl-C₃₋₆cycloalkyl-C(O)OH.

In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —N(R⁴)(R⁵). In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —N(R⁴)(R⁵) and R⁵ is C₁₋₆alkyl. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —N(R⁴)(R⁵) and R⁵ is —CH₃. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —N(R⁴)(R⁵) and R⁵ is —CH₂-phenyl optionally substituted with one, two, or three groups independently selected from halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, and C₁₋₆alkoxy. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —N(R⁴)(R⁵) and R⁵ is —CH₂-phenyl optionally substituted with one or two groups independently selected from halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, and C₁₋₆alkoxy. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —N(R⁴)(R⁵) and R⁵ is —CH₂-phenyl optionally substituted with one group selected from halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, and C₁₋₆alkoxy. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —N(R⁴)(R⁵) and R⁴ is —(CR⁶R⁷)_(m)—R^(8′). In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —N(R⁴)(R⁵), R⁴ is —(CR⁶R⁷)_(m)—R^(8′), and each R⁶ and R⁷ is each independently selected from H and C₁₋₆alkyl. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —N(R⁴)(R⁵), R⁴ is —(CR⁶R⁷)_(m)—R^(8′), and each R⁶ and R⁷ is H. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein m is 1, 2, or 3. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein m is 1. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein m is 2. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein m is 3. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein m is 4. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(8′) is —C(O)OR^(9′). In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(8′) is —C(O)OR^(9′) and R^(9′) is —CH₃. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(8′) is —C(O)OR^(9′) and R^(9′) is —CH₂CH₃. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(8′) is —C(O)R^(10′). In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(8′) is —C(O)R^(10′) and R^(10′) is —NHSO₂R²¹. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(8′) is —C(O)R^(10′), R^(10′) is —NHSO₂R²¹, and R^(21′) is C₁₋₆alkyl. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(8′) is —C(O)R^(10′), R^(10′) is —NHSO₂R²¹, and R^(21′) is C₃₋₆cycloalkyl. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(8′) is —C(O)O—(CR¹²R¹³)—OC(O)R¹¹. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(8′) is —C(O)O—(CR¹²R¹³)—OC(O)R¹¹ and R¹¹ is C₁₋₆alkyl. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(8′) is —C(O)O—(CR¹²R¹³)—OC(O)R¹¹ and R¹¹ is C₁₋₆alkoxy. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —N(R⁴)(R⁵), R⁵ is —CH₃ or —CH₂-phenyl optionally substituted with one, two, or three groups independently selected from halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, and C₁₋₆alkoxy, and R⁴ is —CH₂CH₂C(O)OCH₃. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —N(R⁴)(R⁵), R⁵ is —CH₃ or —CH₂-phenyl optionally substituted with one, two, or three groups independently selected from halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, and C₁₋₆alkoxy, and R⁴ is —CH₂CH₂C(O)OCH₂CH₃. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —N(R⁴)(R⁵), R⁵ is —CH₃ or —CH₂-phenyl optionally substituted with one, two, or three groups independently selected from halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, and C₁₋₆alkoxy, and R⁴ is —CH₂CH₂C(O)OC(CH₃)₃. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —N(R⁴)(R⁵), R⁵ is —CH₃ or —CH₂-phenyl optionally substituted with one, two, or three groups independently selected from halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, and C₁₋₆alkoxy, and R⁴ is —CH₂CH₂CH₂C(O)OCH₃. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —N(R⁴)(R⁵), R⁵ is —CH₃ or —CH₂-phenyl optionally substituted with one, two, or three groups independently selected from halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, and C₁₋₆alkoxy, and R⁴ is —CH₂CH₂CH₂C(O)OCH₂CH₃. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —N(R⁴)(R⁵), R⁵ is —CH₃ or —CH₂— phenyl optionally substituted with one, two, or three groups independently selected from halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, and C₁₋₆alkoxy, and R⁴ is —CH₂CH₂CH₂C(O)OC(CH₃)₃.

In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —N(R⁴)(R⁵), R⁵ is —CH₃ or —CH₂-phenyl optionally substituted with one, two, or three groups independently selected from halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, and C₁₋₆alkoxy, and R⁴ is —(CR⁶R⁷)_(p)—Y—(CR⁶R⁷)_(q)—R⁸. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —N(R⁴)(R⁵), R⁵ is —CH₃ or —CH₂-phenyl optionally substituted with one, two, or three groups independently selected from halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, and C₁₋₆alkoxy, and R⁴ is —(CR⁶R⁷)_(p)—Y—(CR⁶R⁷)_(q)—R⁸, and each R⁶ and R⁷ is each independently selected from H and C₁₋₆alkyl. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —N(R⁴)(R⁵), R⁵ is —CH₃ or —CH₂-phenyl optionally substituted with one, two, or three groups independently selected from halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, and C₁₋₆alkoxy, and R⁴ is —(CR⁶R⁷)_(p)—Y—(CR⁶R⁷)_(q)—R⁸, and each R⁶ and R⁷ is H. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —N(R⁴)(R⁵), R⁵ is —CH₃ or —CH₂-phenyl optionally substituted with one, two, or three groups independently selected from halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, and C₁₋₆alkoxy, and R⁴ is —(CR⁶R⁷)_(p)—Y—(CR⁶R⁷)_(q)—R⁸, and Y is —O—. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —N(R⁴)(R⁵), R⁵ is —CH₃ or —CH₂-phenyl optionally substituted with one, two, or three groups independently selected from halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, and C₁₋₆alkoxy, and R⁴ is —(CR⁶R⁷)_(p)—Y—(CR⁶R⁷)_(q)—R⁸, and Y is —N(R²²)—. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —N(R⁴)(R⁵), R⁵ is —CH₃ or —CH₂— phenyl optionally substituted with one, two, or three groups independently selected from halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, and C₁₋₆alkoxy, and R⁴ is —(CR⁶R⁷)_(p)—Y—(CR⁶R⁷)_(q)—R⁸, Y is —N(R²²)—, and R²² is —SO₂R²³. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein q is 1. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein p is 2. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)OR⁹. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)OR⁹ and R⁹ is H. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)OR⁹ and R⁹ is C₁₋₆alkyl. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)OR⁹ and R⁹ is —CH₃. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)OR⁹ and R⁹ is —CH₂CH₃. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)R¹⁰. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)R¹⁰ and R¹⁰ is —NHSO₂R²¹. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)R¹⁰, R¹⁰ is —NHSO₂R²¹, and R²¹ is C₁₋₆alkyl. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)R¹⁰, R¹⁰ is —NHSO₂R²¹, and R²¹ is C₃₋₆cycloalkyl. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)O—(CR¹²R¹³)—OC(O)R¹¹. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)O—(CR¹²R¹³)—OC(O)R¹¹ and R¹¹ is C₁₋₆alkyl. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)O—(CR¹²R¹³)—OC(O)R¹¹ and R¹¹ is C₁₋₆alkoxy. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —N(R⁴)(R⁵), R⁵ is —CH₃ or —CH₂-phenyl optionally substituted with one, two, or three groups independently selected from halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, and C₁₋₆alkoxy, and R⁴ is —CH₂CH₂OCH₂C(O)OH. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —N(R⁴)(R⁵), R⁵ is —CH₃ or —CH₂— phenyl optionally substituted with one, two, or three groups independently selected from halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, and C₁₋₆alkoxy, and R⁴ is —CH₂CH₂N(SO₂CH₃)CH₂C(O)OH. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —N(R⁴)(R⁵), R⁵ is —CH₃ or —CH₂-phenyl optionally substituted with one, two, or three groups independently selected from halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, and C₁₋₆alkoxy, and R⁴ is —CH₂CH₂CH₂C(O)OCH(CH₃)OC(O)OCHCH₂CH₃. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —N(R⁴)(R⁵), R⁵ is —CH₃ or —CH₂-phenyl optionally substituted with one, two, or three groups independently selected from halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, and C₁₋₆alkoxy, and R⁴ is —CH₂CH₂CH₂C(O)OCH(CH₃)OC(O)OCH(CH₃)₂. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —N(R⁴)(R⁵), R⁵ is —CH₃ or —CH₂-phenyl optionally substituted with one, two, or three groups independently selected from halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, and C₁₋₆alkoxy, and R⁴ is —CH₂CH₂CH₂C(O)OCH₂OC(O)OC(CH₃)₃. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —N(R⁴)(R⁵), R⁵ is —CH₃ or —CH₂— phenyl optionally substituted with one, two, or three groups independently selected from halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, and C₁₋₆alkoxy, and R⁴ is —CH₂CH₂CH₂C(O)OCH(CH₃)OC(O)CH(CH₃)₂.

In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —N(R⁴)(R⁵) and R⁴ is —(CR⁶R⁷)_(v)—C(O)OH. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —N(R⁴)(R⁵), R⁵ is —CH₃, and R⁴ is —(CR⁶R⁷)_(v)—C(O)OH. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —N(R⁴)(R⁵), R⁵ is —CH₃, R⁴ is —(CR⁶R⁷)_(v)—C(O)OH, and v is 3. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —N(R⁴)(R⁵), R⁵ is —CH₃, R⁴ is —(CR⁶R⁷)_(v)—C(O)OH, and v is 4. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —N(R⁴)(R⁵), R⁵ is —CH₂-phenyl optionally substituted with one, two, or three groups independently selected from halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, and C₁₋₆alkoxy, and R⁴ is —(CR⁶R⁷)_(v)—C(O)OH. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —N(R⁴)(R⁵), R⁵ is —CH₂-phenyl optionally substituted with one, two, or three groups independently selected from halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, and C₁₋₆alkoxy, R⁴ is —(CR⁶R⁷)_(v)—C(O)OH, and v is 3. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —N(R⁴)(R⁵), R⁵ is —CH₂-phenyl optionally substituted with one, two, or three groups independently selected from halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, and C₁₋₆alkoxy, R⁴ is —(CR⁶R⁷)_(v)—C(O)OH, and v is 4. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —N(R⁴)(R⁵), R⁵ is —CH₃, and R⁴ is —CH₂CH₂CH₂C(O)OH. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —N(R⁴)(R⁵), R⁵ is —CH₂-phenyl optionally substituted with one, two, or three groups independently selected from halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, and C₁₋₆alkoxy, and R⁴ is —CH₂CH₂CH₂C(O)OH. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —N(R⁴)(R⁵), R⁵ is —CH₃, and R⁴ is —CH₂CH₂CH₂CH₂C(O)OH. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —N(R⁴)(R⁵), R⁵ is —CH₂-phenyl optionally substituted with one, two, or three groups independently selected from halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, and C₁₋₆alkoxy, and R⁴ is —CH₂CH₂CH₂CH₂C(O)OH. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —N(R⁴)(R⁵), R⁵ is —CH₃, and R⁴ is —CH₂CH(CH₃)CH₂C(O)OH. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —N(R⁴)(R⁵), R⁵ is —CH₂-phenyl optionally substituted with one, two, or three groups independently selected from halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, and C₁₋₆alkoxy, and R⁴ is —CH₂CH(CH₃)CH₂C(O)OH.

In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —OR³. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —OR³ and R³ is —(CR⁶R⁷)_(m)—R⁸. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)OR⁹. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)OR⁹ and R⁹ is H. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)OR⁹ and R⁹ is C₁₋₆alkyl. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)OR⁹ and R⁹ is —CH₃. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)OR⁹ and R⁹ is —CH₂CH₃. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)R¹⁰. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)R¹⁰ and R¹⁰ is —NHSO₂R²¹. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)R¹⁰, R¹⁰ is —NHSO₂R²¹, and R²¹ is C₁₋₆alkyl. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)R¹⁰, R¹⁰ is —NHSO₂R²¹, and R²¹ is C₃₋₆cycloalkyl. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)O—(CR¹²R¹³)—OC(O)R¹¹. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)O—(CR¹²R¹³)—OC(O)R¹¹ and R¹¹ is C₁₋₆alkyl. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)O—(CR¹²R¹³)—OC(O)R¹¹ and R¹¹ is C₁₋₆alkoxy. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —OR³ and R³ is —CH₂C(O)OH. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —OR³ and R³ is —CH₂CH₂C(O)OH. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —OR³ and R³ is

In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —OR³ and R³ is

In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —OR³ and R³ is —CH₂CH₂CH₂C(O)OH. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —OR³ and R¹ is —CH₂CH(CH₃)CH₂C(O)OH. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —OR³ and R¹ is —CH₂CH₂C(O)OCH₃. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —OR³ and R³ is —CH₂CH₂C(O)OCH₂CH₃. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —OR³ and R³ is —CH₂CH₂C(O)OC(CH₃)₃. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —OR³ and R³ is —CH₂CH₂CH₂C(O)OCH₃. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —OR³ and R³ is —CH₂CH₂CH₂C(O)OCH₂CH₃. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —OR³ and R³ is —CH₂CH₂CH₂C(O)OC(CH₃)₃.

In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —OR³ and R³ is —(CR⁶R⁷)_(p)—Y—(CR⁶R⁷)_(q)—R⁸. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —OR³, R³ is —(CR⁶R⁷)_(p)—Y—(CR⁶R⁷)_(q)—R⁸, and each R⁶ and R⁷ is each independently selected from H and C₁₋₆alkyl. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —OR³, R³ is —(CR⁶R⁷)_(p)—Y—(CR⁶R⁷)_(q)—R⁸, and each R⁶ and R⁷ is H. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —OR³, R³ is —(CR⁶R⁷)_(p)—Y—(CR⁶R⁷)_(q)—R⁸, and Y is —O—. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —OR³, R³ is —(CR⁶R⁷)_(p)—Y—(CR⁶R⁷)_(q)—R⁸, and Y is —N(R²²)—. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —OR³, R³ is —(CR⁶R⁷)_(p)—Y—(CR⁶R⁷)_(q)—R⁸, Y is —N(R²²)—, and R²² is —SO₂R²³. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein q is 1. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein p is 2. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)OR⁹. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)OR⁹ and R⁹ is H. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)OR⁹ and R⁹ is C₁₋₆alkyl. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)OR⁹ and R⁹ is —CH₃. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)OR⁹ and R⁹ is —CH₂CH₃. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)R¹⁰. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)R¹⁰ and R¹⁰ is —NHSO₂R²¹. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)R¹⁰, R¹⁰ is —NHSO₂R²¹, and R²¹ is C₁₋₆alkyl. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)R¹⁰, R¹⁰ is —NHSO₂R²¹, and R²¹ is C₃₋₆cycloalkyl. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)O—(CR¹²R¹³)—OC(O)R¹¹. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)O—(CR¹²R¹³)—OC(O)R¹¹ and R¹¹ is C₁₋₆alkyl. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)O—(CR¹²R¹³)—OC(O)R¹¹ and R¹¹ is C₁₋₆alkoxy. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —OR³ and R³ is —CH₂CH₂OCH₂C(O)OH. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹—OR³ and R³ is —CH₂CH₂N(SO₂CH₃)CH₂C(O)OH. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —OR³ and R³ is —CH₂CH₂CH₂C(O)OCH(CH₃)OC(O)OCH₂CH₃. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —OR³ and R³ is —CH₂CH₂CH₂C(O)OCH(CH₃)OC(O)OCH(CH₃)₂. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —OR³ and R³ is —CH₂CH₂CH₂C(O)OCH₂C(O)OC(CH₃)₃. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —OR³ and R³ is —CH₂CH₂CH₂C(O)OCH(CH₃)OC(O)CH(CH₃)₂.

In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —OR³ and R³ is —(CR⁶R⁷)_(t)—C₃₋₆cycloalkyl-R⁸. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —OR³, R³ is —(CR⁶R⁷)_(t)—C₃₋₆cycloalkyl-R⁸, and t is 0. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —OR³, R³ is —(CR⁶R⁷)_(t)—C₃₋₆cycloalkyl-R⁸, and t is 1. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —OR³, R³ is —(CR⁶R⁷)_(t)—C₃₋₆cycloalkyl-R⁸, and t is 2. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —OR³ and R³ is -cyclopropyl-C(O)OH. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —OR³ and R³ is -cyclobutyl-C(O)OH. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —OR³ and R³ is -cyclopentyl-C(O)OH.

In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —R¹⁴. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —R¹⁴ and R¹⁴ is —(CR¹⁵R¹⁶)_(m)—R⁸. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹⁴ is —(CR¹⁵R¹⁶)_(m)—R⁸ and m is 1. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹⁴ is —(CR¹⁵R¹⁶)_(m)—R⁸ and m is 2. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹⁴ is —(CR¹⁵R¹⁶)_(m)—R⁸ and m is 3. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹⁴ is —(CR¹⁵R¹⁶)_(m)—R⁸ and m is 4. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)OR⁹. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)OR⁹ and R⁹ is H. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)OR⁹ and R⁹ is C₁₋₆alkyl. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)OR⁹ and R⁹ is —CH₃. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)OR⁹ and R⁹ is —CH₂CH₃. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)R¹⁰. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)R¹⁰ and R¹⁰ is —NHSO₂R²¹. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)R¹⁰, R¹⁰ is —NHSO₂R²¹, and R²¹ is C₁₋₆alkyl. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)R¹⁰, R¹⁰ is —NHSO₂R²¹, and R²¹ is C₃₋₆cycloalkyl. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)O—(CR¹²R¹³)—OC(O)R¹¹. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)O—(CR¹²R¹³)—OC(O)R¹¹ and R¹¹ is C₁₋₆alkyl. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)O—(CR¹²R¹³)—OC(O)R¹¹ and R¹¹ is C₁₋₆alkoxy. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —R⁴ and R⁴ is —CH₂C(O)OH. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —R¹⁴ and R⁴ is —CH₂CH₂C(O)OH. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —R⁴ and R⁴ is —CH₂CH₂CH₂C(O)OH. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —R⁴ and R⁴ is —CH₂CH₂CH₂CH₂C(O)OH. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —R¹⁴ and R⁴ is —CH₂CH(CH₃)CH₂C(O)OH. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —R⁴ and R⁴ is —CH₂CH₂C(O)OCH₃. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —R⁴ and R⁴ is —CH₂CH₂C(O)OCH₂CH₃. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —R¹⁴ and R⁴ is —CH₂CH₂C(O)OC(CH₃)₃. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —R⁴ and R⁴ is —CH₂CH₂CH₂C(O)OCH₃. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —R⁴ and R⁴ is —CH₂CH₂CH₂C(O)OCH₂CH₃. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —R¹⁴ and R⁴ is —CH₂CH₂CH₂C(O)OC(CH₃)₃. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —R⁴ and R⁴ is —CH₂CH₂CH₂CH₂C(O)OCH₃. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —R⁴ and R¹⁴ is —CH₂CH₂CH₂CH₂C(O)OCH₂CH₃. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —R⁴ and R¹⁴ is —CH₂CH₂CH₂CH₂C(O)OC(CH₃)₃.

In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —R¹⁴ and R¹⁴ is —(CR⁶R⁷)_(p)—Y—(CR⁶R⁷)_(q)—R⁸. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —R¹⁴, R¹⁴ is —(CR⁶R⁷)_(p)—Y—(CR⁶R⁷)_(q)—R⁸, and each R⁶ and R⁷ is each independently selected from H and C₁₋₆alkyl. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —R¹⁴, R¹⁴ is —(CR⁶R⁷)_(p)—Y—(CR⁶R⁷)_(q)—R⁸, and each R⁶ and R⁷ is H. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —R¹⁴, R¹⁴ is —(CR⁶R⁷)_(p)—Y—(CR⁶R⁷)_(q)—R⁸, and Y is —O—. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —R¹⁴, R¹⁴ is —(CR⁶R⁷)_(p)—Y—(CR⁶R⁷)_(q)—R⁸, and Y is —N(R²²)—. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —R¹⁴, R¹⁴ is —(CR⁶R⁷)_(p)—Y—(CR⁶R⁷)_(q)—R⁸, Y is —N(R²²)—, and R²² is —SO₂R²³. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein q is 1. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein p is 2. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)OR⁹. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)OR⁹ and R⁹ is H. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)OR⁹ and R⁹ is C₁₋₆alkyl. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)OR⁹ and R⁹ is —CH₃. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)OR⁹ and R⁹ is —CH₂CH₃. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)R¹⁰. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)R¹⁰ and R¹⁰ is —NHSO₂R²¹. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)R¹⁰, R¹⁰ is —NHSO₂R²¹, and R²¹ is C₁₋₆alkyl. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)R¹⁰, R¹⁰ is —NHSO₂R²¹, and R²¹ is C₃₋₆cycloalkyl. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)O—(CR¹²R¹³)—OC(O)R¹¹. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)O—(CR¹²R¹³)—OC(O)R¹¹ and R¹¹ is C₁₋₆alkyl. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)O—(CR¹²R¹³)—OC(O)R¹¹ and R¹¹ is C₁₋₆alkoxy. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —R⁴ and R¹⁴ is —CH₂CH₂OCH₂C(O)OH. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —R¹⁴ and R⁴ is —CH₂CH₂N(SO₂CH₃)CH₂C(O)OH. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —R¹⁴ and R¹⁴ is —CH₂CH₂CH₂C(O)OCH(CH₃)OC(O)OCH₂CH₃. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —R⁴ and R⁴ is —CH₂CH₂CH₂C(O)OCH(CH₃)OC(O)OCH(CH₃)₂. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —R⁴ and R¹⁴ is —CH₂CH₂CH₂C(O)OCH₂OC(O)OC(CH₃)₃. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —R⁴ and R⁴ is —CH₂CH₂CH₂C(O)OCH(CH₃)OC(O)CH(CH₃)₂.

In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —C≡C—(CR⁶R⁷)—R⁸. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —C≡C—(CR⁶R⁷)—R⁸ and R⁶ and R⁷ is independently selected from H and C₁₋₆alkyl. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —C≡C—(CR⁶R⁷)—R⁸ and R⁶ and R⁷ is each independently C₁₋₆alkyl. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —C≡C—(CR⁶R⁷)—R⁸ and R⁶ and R⁷ is —CH₃. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)OR⁹. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)OR⁹ and R⁹ is H. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)OR⁹ and R⁹ is C₁₋₆alkyl. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)OR⁹ and R⁹ is —CH₃. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)OR⁹ and R⁹ is —CH₂CH₃. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)R¹⁰. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)R¹⁰ and R¹⁰ is —NHSO₂R²¹. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)R¹⁰, R¹⁰ is —NHSO₂R²¹, and R²¹ is C₁ alkyl. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)R¹⁰, R¹⁰ is —NHSO₂R²¹, and R²¹ is C₃₋₆cycloalkyl. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)O—(CR¹²R¹³)—OC(O)R¹¹. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)O—(CR¹²R¹³)—OC(O)R¹¹ and R¹¹ is C₁₋₆alkyl. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)O—(CR¹²R¹³)—OC(O)R¹¹ and R¹¹ is C₁₋₆alkoxy. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is

In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 0, 1, or 2. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 or 2. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 0 or 1. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 0. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 2. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 3.

In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R² is halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, or —OR¹⁷. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R² is independently selected from C₁₋₆alkyl, halogen, —CN, or C₁₋₆haloalkyl. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R² is halogen, C₁₋₆alkyl, or C₁₋₆haloalkyl. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R² is halogen. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R² is —Cl. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R² is —F. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R² is C₁₋₆alkyl. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R² is —CH₃. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R² is C₁₋₆haloalkyl. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R² is —CF₃. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R² is C₁₋₆alkoxy. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R² is —OCH₃. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R² is C₁₋₆haloalkoxy. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R² is —OCF₃. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R² is —OH. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R² is —CN.

In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 2 and each R² is independently halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, or —OR¹⁷. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 2 and each R² is independently halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, C₁₋₆alkoxy, —OCF₃, or —CN. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 2 and each R² is independently halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, C₁₋₆alkoxy, or —OCF₃. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 2 and each R² is independently halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, or —OCF₃. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 2 and each R² is independently halogen, C₁₋₆alkyl, or C₁₋₆haloalkyl. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 2 and each R² is independently halogen or C₁₋₆haloalkyl. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 2 and each R² is independently halogen or C₁₋₆alkyl. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 2 and each R² is independently halogen. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 2 and each R² is independently C₁₋₆alkyl. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 2 and each R² is independently C₁₋₆haloalkyl.

In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 3 and each R² is independently halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, C₁₋₆alkoxy, C₁₋₆haloalkoxy, —OH, or —CN. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 3 and each R² is independently halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, C₁₋₆alkoxy, —OCF₃, or —CN. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 3 and each R² is independently halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, C₁₋₆alkoxy, or —OCF₃. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 3 and each R² is independently halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, or —OCF₃. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 3 and each R² is independently halogen, C₁₋₆alkyl, or C₁₋₆haloalkyl. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 3 and each R² is independently halogen or C₁₋₆haloalkyl. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 3 and each R² is independently halogen or C₁₋₆alkyl. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 3 and each R² is independently halogen. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 3 and each R² is independently C₁₋₆alkyl. In some embodiments is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 3 and each R² is independently C₁₋₆haloalkyl.

In some embodiments is a compound of Formula (IIa):

wherein:

-   -   R^(1′) is C₃₋₆cycloalkyl, C₂₋₉heterocycloalkyl, or         C₂₋₉heteroaryl, wherein C₃₋₆cycloalkyl, C₂₋₉heterocycloalkyl, or         C₂₋₉heteroaryl are optionally substituted with one, two, or         three groups independently selected from halogen, C₁₋₆alkyl,         C₁₋₆haloalkyl, and C₁₋₆alkoxy;     -   each R² is independently selected from C₁₋₆alkyl, halogen, —CN,         C₁₋₆haloalkyl, —C₁₋₆alkyl(heterocycloalkyl), —OR¹⁷, and         —C(O)NR¹⁸R¹⁹;     -   R^(4′) is —(CR⁶R⁷)_(m)—R^(8′), —(CR⁶R⁷)_(p)—Y—(CR⁶R⁷)_(q)—R⁸,         —C₁₋₆alkyl-C(O)OH, —C₃₋₆cycloalkyl-C(O)OH,     -   or —C₁₋₆alkyl-C₃₋₆cycloalkyl-C(O)OH;     -   Y is —O— or —N(R²²)—;     -   each R⁶ and R⁷ is each independently selected from H, F, and         C₁₋₆alkyl; or R⁶ and R⁷, together with the carbon to which they         are attached, form a C₃₋₆cycloalkyl ring;     -   R⁸ is —C(O)OR⁹, —C(O)R¹⁰, or —C(O)O—(CR¹²R¹³)—OC(O)R¹¹;     -   R^(8′) is —C(O)OR^(9′), —C(O)R^(10′), or         —C(O)O—(CR¹²R¹³)—OC(O)R¹¹;     -   R⁹ is H or C₁₋₆alkyl;     -   R^(9′) is C₁₋₆alkyl;     -   R¹⁰ is C₁₋₆alkyl or —NHSO₂R²¹;     -   R^(10′) is C₂₋₆alkyl or —NHSO₂R²¹;     -   R¹¹ is C₁₋₆alkyl or C₁₋₆alkoxy;     -   R¹² and R¹³ is each independently H or C₁₋₆alkyl;     -   each R¹⁷ is independently selected from H, C₁₋₆alkyl,         C₁₋₆haloalkyl, and C₃₋₆cycloalkyl;     -   each R¹⁸ and R¹⁹ is each independently selected from H,         C₁₋₆alkyl, C₃₋₆cycloalkyl, aryl, and heteroaryl; or R¹⁸ and R¹⁹,         together with the nitrogen to which they are attached, form a         heterocycloalkyl ring optionally substituted with one, two, or         three R²⁰;     -   each R²⁰ is independently selected from halogen, C₁₋₆alkyl,         C₁₋₆haloalkyl, oxo, —CN, and C₃₋₆cycloalkyl;     -   R²¹ is C₁₋₆alkyl or C₃₋₆cycloalkyl;     -   R²² is H, C₁₋₆alkyl, or —SO₂R²³;     -   R²³ is C₁₋₆alkyl;     -   m is 1, 2, 3 or 4;     -   n is 0, 1, 2, or 3;     -   p is 2, 3, or 4; and     -   q is 1, 2, or 3;         or a pharmaceutically acceptable salt or solvate thereof.

In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(1′) is C₃₋₆cycloalkyl, C₂₋₉heterocycloalkyl, or C₂₋₉heteroaryl, wherein C₃₋₆cycloalkyl, C₂₋₉heterocycloalkyl, or C₂₋₉heteroaryl are optionally substituted with one or two groups independently selected from halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, and C₁₋₆alkoxy. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(1′) is C₃₋₆cycloalkyl optionally substituted with one or two groups independently selected from halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, and C₁₋₆alkoxy. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(1′) is C₂₋₉heterocycloalkyl optionally substituted with one or two groups independently selected from halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, and C₁₋₆alkoxy. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(1′) is C₂₋₉heteroaryl optionally substituted with one or two groups independently selected from halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, and C₁₋₆alkoxy. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(1′) is C₃₋₆cycloalkyl, C₂₋₉heterocycloalkyl, or C₂₋₉heteroaryl, wherein C₃₋₆cycloalkyl, C₂₋₉heterocycloalkyl, or C₂₋₉heteroaryl are unsubstituted. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(1′) is unsubstituted C₃₋₆cycloalkyl. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(1′) is unsubstituted C₂₋₉heterocycloalkyl. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(1′) is unsubstituted C₂₋₉heteroaryl.

In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(4′) is —(CR⁶R⁷)_(m)—R^(8′). In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(4′) is —(CR⁶R⁷)_(m)—R^(8′) and each R⁶ and R⁷ is each independently selected from H and C₁₋₆alkyl. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(4′) is —(CR⁶R⁷)_(m)—R^(8′) and each R⁶ and R⁷ is H. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein m is 1, 2, or 3. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein m is 1. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein m is 2. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein m is 3. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein m is 4. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(8′) is —C(O)OR^(9′). In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(8′) is —C(O)OR^(9′) and R^(9′) is —CH₃. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(8′) is —C(O)OR^(9′) and R^(9′) is —CH₂CH₃. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(8′) is —C(O)R^(10′). In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(8′) is —C(O)R^(10′) and R^(10′) is —NHSO₂R²¹. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(8′) is —C(O)R^(10′), R^(10′) is —NHSO₂R²¹, and R²¹ is C₁₋₆alkyl. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(8′) is —C(O)R^(10′), R^(10′) is —NHSO₂R²¹, and R²¹ is C₃₋₆cycloalkyl. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(8′) is —C(O)O—(CR¹²R¹³)—OC(O)R¹¹. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(8′) is —C(O)O—(CR¹²R¹³)—OC(O)R¹¹ and R¹¹ is C₁₋₆alkyl. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(8′) is —C(O)O—(CR¹²R¹³)—OC(O)R¹¹ and R¹¹ is C₁₋₆alkoxy. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(4′) is —CH₂CH₂C(O)OCH₃. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(4′) is —CH₂CH₂C(O)OCH₂CH₃. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(4′) is —CH₂CH₂C(O)OC(CH₃)₃. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(4′) is —CH₂CH₂CH₂C(O)OCH₃. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(4′) is —CH₂CH₂CH₂C(O)OCH₂CH₃. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(4′) is —CH₂CH₂CH₂C(O)OC(CH₃)₃.

In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(4′) is —(CR⁶R⁷)_(p)—Y—(CR⁶R⁷)_(q)—R⁸. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁴ is —(CR⁶R⁷)_(p)—Y—(CR⁶R⁷)_(q)—R⁸ and each R⁶ and R⁷ is each independently selected from H and C₁₋₆alkyl. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(4′) is —(CR⁶R⁷)_(p)—Y—(CR⁶R⁷)_(q)—R⁸ and each R⁶ and R⁷ is H. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(4′) is —(CR⁶R⁷)_(p)—Y—(CR⁶R⁷)_(q)—R⁸ and Y is —O—. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(4′) is —(CR⁶R⁷)_(p)—Y—(CR⁶R⁷)_(q)—R⁸ and Y is —N(R²²)—. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(4′) is —(CR⁶R⁷)_(p)—Y—(CR⁶R⁷)_(q)—R⁸, Y is —N(R²²)—, and R²² is —SO₂R²³. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein q is 1. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein p is 2. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)OR⁹. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)OR⁹ and R⁹ is H. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)OR⁹ and R⁹ is C₁₋₆alkyl. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)OR⁹ and R⁹ is —CH₃. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)OR⁹ and R⁹ is —CH₂CH₃. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)R¹⁰. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)R¹⁰ and R¹⁰ is —NHSO₂R²¹. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)R¹⁰, R¹⁰ is —NHSO₂R²¹, and R²¹ is C₁₋₆alkyl. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)R¹⁰, R¹⁰ is —NHSO₂R²¹, and R²¹ is C₃₋₆cycloalkyl. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)O—(CR¹²R¹³)—OC(O)R¹¹. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)O—(CR¹²R¹³)—OC(O)R¹¹ and R¹¹ is C₁₋₆alkyl. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)O—(CR¹²R¹³)—OC(O)R¹¹ and R¹¹ is C₁₋₆alkoxy. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(4′) is —CH₂CH₂OCH₂C(O)OH. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(4′) is —CH₂CH₂N(SO₂CH₃)CH₂C(O)OH. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(4′) is —CH₂CH₂CH₂C(O)OCH(CH₃)OC(O)OCHCH₂CH₃. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(4′) is —CH₂CH₂CH₂C(O)OCH(CH₃)OC(O)OCH(CH₃)₂. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(4′) is —CH₂CH₂CH₂C(O)OCH₂OC(O)OC(CH₃)₃. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(4′) is —CH₂CH₂CH₂C(O)OCH(CH₃)OC(O)CH(CH₃)₂.

In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(4′) is —C₄₋₆alkyl-C(O)OH. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁴ is —CH₂CH₂CH₂CH₂C(O)OH. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(4′) is-CH₂CH(CH₃)CH₂C(O)OH.

In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(4′) is —C₃₋₆cycloalkyl-C(O)OH. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(4′) is —C₁₋₆alkyl-C₃₋₆cycloalkyl-C(O)OH.

In some embodiments of a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 0, 1, or 2. In some embodiments of a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 or 2. In some embodiments of a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 0 or 1. In some embodiments of a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 0. In some embodiments of a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1. In some embodiments of a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 2. In some embodiments of a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 3.

In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R² is halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, or —OR¹⁷. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R² is independently selected from C₁₋₆alkyl, halogen, —CN, or C₁₋₆haloalkyl. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R² is halogen, C₁₋₆alkyl, or C₁₋₆haloalkyl. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R² is halogen. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R² is —Cl. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R² is —F. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R² is C₁₋₆alkyl. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R² is —CH₃. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R² is C₁₋₆haloalkyl. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R² is —CF₃. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R² is C₁₋₆alkoxy. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R² is —OCH₃. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R² is C₁₋₆haloalkoxy. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R² is —OCF₃. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R² is —OH. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R² is —CN.

In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 2 and each R² is independently halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, or —OR¹⁷. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 2 and each R² is independently halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, C₁₋₆alkoxy, —OCF₃, or —CN. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 2 and each R² is independently halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, C₁₋₆alkoxy, or —OCF₃. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 2 and each R² is independently halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, or —OCF₃. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 2 and each R² is independently halogen, C₁₋₆alkyl, or C₁₋₆haloalkyl. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 2 and each R² is independently halogen or C₁₋₆haloalkyl. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 2 and each R² is independently halogen or C₁₋₆alkyl. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 2 and each R² is independently halogen. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 2 and each R² is independently C₁₋₆alkyl. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 2 and each R² is independently C₁₋₆haloalkyl.

In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 3 and each R² is independently halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, C₁₋₆alkoxy, C₁₋₆haloalkoxy, —OH, or —CN. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 3 and each R² is independently halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, C₁₋₆alkoxy, —OCF₃, or —CN. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 3 and each R² is independently halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, C₁₋₆alkoxy, or —OCF₃. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 3 and each R² is independently halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, or —OCF₃. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 3 and each R² is independently halogen, C₁₋₆alkyl, or C₁₋₆haloalkyl. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 3 and each R² is independently halogen or C₁₋₆haloalkyl. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 3 and each R² is independently halogen or C₁₋₆alkyl. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 3 and each R² is independently halogen. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 3 and each R² is independently C₁₋₆alkyl. In some embodiments is a compound of Formula (IIa), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 3 and each R² is independently C₁₋₆haloalkyl.

In some embodiments is a compound of Formula (IIb):

wherein:

-   -   R^(1′) is C₃₋₆cycloalkyl, C₂₋₉heterocycloalkyl, or         C₂₋₉heteroaryl, wherein C₃₋₆cycloalkyl, C₂₋₉heterocycloalkyl, or         C₂₋₉heteroaryl are optionally substituted with one, two, or         three groups independently selected from halogen, C₁₋₆alkyl,         C₁₋₆haloalkyl, and C₁₋₆alkoxy; each R² is independently selected         from C₁₋₆alkyl, halogen, —CN, C₁₋₆haloalkyl,         —C₁₋₆alkyl(heterocycloalkyl), —OR¹⁷, and —C(O)NR¹⁸R¹⁹;     -   R³ is —(CR⁶R⁷)_(m)—R⁸, —(CR⁶R⁷)_(p)—Y—(CR⁶R⁷)_(q)—R⁸, or         —(CR⁶R⁷)_(t)—C₃₋₆cycloalkyl-R⁸;     -   Y is —O— or —N(R²²)—;     -   each R⁶ and R⁷ is each independently selected from H, F, and         C₁₋₆alkyl; or R⁶ and R⁷, together with the carbon to which they         are attached, form a C₃₋₆cycloalkyl ring;     -   R⁸ is —C(O)OR⁹, —C(O)R¹⁰, or —C(O)O—(CR¹²R¹³)—OC(O)R¹¹;     -   R⁹ is H or C₁₋₆alkyl;     -   R¹⁰ is C₁₋₆alkyl or —NHSO₂R²¹;     -   R¹¹ is C₁₋₆alkyl or C₁₋₆alkoxy;     -   R¹² and R¹³ is each independently H or C₁₋₆alkyl;     -   each R¹⁷ is independently selected from H, C₁₋₆alkyl,         C₁₋₆haloalkyl, and C₃₋₆cycloalkyl; each R¹⁸ and R¹⁹ is each         independently selected from H, C₁₋₆alkyl, C₃₋₆cycloalkyl, aryl,         and heteroaryl; or R¹⁸ and R¹⁹, together with the nitrogen to         which they are attached, form a heterocycloalkyl ring optionally         substituted with one, two, or three R²⁰;     -   each R²⁰ is independently selected from halogen, C₁₋₆alkyl,         C₁₋₆haloalkyl, oxo, —CN, and C₃₋₆cycloalkyl;     -   R²¹ is C₁₋₆alkyl or C₃₋₆cycloalkyl;     -   R²² is H, C₁₋₆alkyl, or —SO₂R²³;     -   R²³ is C₁₋₆alkyl;     -   m is 1, 2, 3 or 4;     -   n is 0, 1, 2, or 3;     -   p is 2, 3, or 4;     -   q is 1, 2, or 3; and     -   t is 0, 1, or 2;         or a pharmaceutically acceptable salt or solvate thereof.

In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(1′) is C₃₋₆cycloalkyl, C₂₋₉heterocycloalkyl, or C₂₋₉heteroaryl, wherein C₃₋₆cycloalkyl, C₂₋₉heterocycloalkyl, or C₂₋₉heteroaryl are optionally substituted with one or two groups independently selected from halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, and C₁₋₆alkoxy. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(1′) is C₃₋₆cycloalkyl optionally substituted with one or two groups independently selected from halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, and C₁₋₆alkoxy. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(1′) is C₂₋₉heterocycloalkyl optionally substituted with one or two groups independently selected from halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, and C₁₋₆alkoxy. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(1′) is C₂₋₉heteroaryl optionally substituted with one or two groups independently selected from halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, and C₁₋₆alkoxy. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(1′) is C₃₋₆cycloalkyl, C₂₋₉heterocycloalkyl, or C₂₋₉heteroaryl, wherein C₃₋₆cycloalkyl, C₂₋₉heterocycloalkyl, or C₂₋₉heteroaryl are unsubstituted. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(1′) is unsubstituted C₃₋₆cycloalkyl. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(1′) is unsubstituted C₂₋₉heterocycloalkyl. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein R^(1′) is unsubstituted C₂₋₉heteroaryl.

In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein R³ is —(CR⁶R⁷)_(m)—R⁸. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)OR⁹. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)OR⁹ and R⁹ is H. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)OR⁹ and R⁹ is C₁₋₆alkyl. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)OR⁹ and R⁹ is —CH₃. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)OR⁹ and R⁹ is —CH₂CH₃. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)R¹⁰. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)R¹⁰ and R¹⁰ is —NHSO₂R²¹. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)R¹⁰, R¹⁰ is —NHSO₂R²¹, and R²¹ is C₁₋₆alkyl. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)R¹⁰, R¹⁰ is —NHSO₂R²¹, and R²¹ is C₃₋₆cycloalkyl. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)O—(CR¹²R¹³)—OC(O)R¹¹. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)O—(CR¹²R¹³)—OC(O)R¹¹ and R¹¹ is C₁₋₆alkyl. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)O—(CR¹²R¹³)—OC(O)R¹¹ and R¹¹ is C₁₋₆alkoxy. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein R³ is —CH₂C(O)OH. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein R³ is —CH₂CH₂C(O)OH. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —OR³ and R³ is

In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is —OR³ and R³ is

In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein R³ is —CH₂CH₂CH₂C(O)OH. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein R³ is —CH₂CH(CH₃)CH₂C(O)OH. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein R³ is —CH₂CH₂C(O)OCH₃. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein R³ is —CH₂CH₂C(O)OCH₂CH₃. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein R³ is —CH₂CH₂C(O)OC(CH₃)₃. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein R³ is —CH₂CH₂CH₂C(O)OCH₃. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein R³ is —CH₂CH₂CH₂C(O)OCH₂CH₃. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein R³ is —CH₂CH₂CH₂C(O)OC(CH₃)₃.

In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein R³ is —(CR⁶R⁷)_(p)—Y—(CR⁶R⁷)_(q)—R⁸. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein R³ is —(CR⁶R⁷)_(p)—Y—(CR⁶R⁷)_(q)—R⁸ and each R⁶ and R⁷ is each independently selected from H and C₁₋₆alkyl. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein R³ is —(CR⁶R⁷)_(p)—Y—(CR⁶R⁷)_(q)—R⁸ and each R⁶ and R⁷ is H. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein is —(CR⁶R⁷)_(p)—Y—(CR⁶R⁷)_(q)—R⁸ and Y is —O—. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein R³ is —(CR⁶R⁷)_(p)—Y—(CR⁶R⁷)_(q)—R and Y is —N(R²²)—. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein R³ is —(CR⁶R⁷)_(p)—Y—(CR⁶R⁷)_(q)—R⁸, Y is —N(R²)—, and R²² is —SO₂R²³. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein q is 1. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein p is 2. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)OR⁹. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)OR⁹ and R⁹ is H. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)OR⁹ and R⁹ is C₁₋₆alkyl. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)OR⁹ and R⁹ is —CH₃. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)OR⁹ and R⁹ is —CH₂CH₃. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)R¹⁰. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)R¹⁰ and R¹⁰ is —NHSO₂R²¹. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)R¹⁰, R¹⁰ is —NHSO₂R²¹, and R²¹ is C₁₋₆alkyl. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)R¹⁰, R¹⁰ is —NHSO₂R²¹, and R²¹ is C₃₋₆cycloalkyl. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)O—(CR¹²R¹³)—OC(O)R¹¹. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)O—(CR¹²R¹³)—OC(O)R¹¹ and R¹¹ is C₁₋₆alkyl. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein R⁸ is —C(O)O—(CR¹²R¹³)—OC(O)R¹¹ and R¹¹ is C₁₋₆alkoxy. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein R³ is —CH₂CH₂OCH₂C(O)OH. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein R³ is —CH₂CH₂N(SO₂CH₃)CH₂C(O)OH. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein R³ is —CH₂CH₂CH₂C(O)OCH(CH₃)OC(O)OCH₂CH₃. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein R³ is —CH₂CH₂CH₂C(O)OCH(CH₃)OC(O)OCH(CH₃)₂. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein R³ is —CH₂CH₂CH₂C(O)OCH₂OC(O)OC(CH₃)₃. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein R³ is —CH₂CH₂CH₂C(O)OCH(CH₃)OC(O)CH(CH₃)₂.

In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein R³ is —(CR⁶R⁷)_(t)—C₃₋₆cycloalkyl-R⁸. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein R³ is —(CR⁶R⁷)_(t)—C₃₋₆cycloalkyl-R⁸ and t is 0. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein R³ is —(CR⁶R⁷)_(t)—C₃₋₆cycloalkyl-R⁸ and t is 1. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein R³ is —(CR⁶R⁷)_(t)—C₃₋₆cycloalkyl-R⁸ and t is 2. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein R³ is -cyclopropyl-C(O)OH. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein R³ is -cyclobutyl-C(O)OH. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein R³ is -cyclopentyl-C(O)OH.

In some embodiments of a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 0, 1, or 2. In some embodiments of a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 or 2. In some embodiments of a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 0 or 1. In some embodiments of a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 0. In some embodiments of a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1. In some embodiments of a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 2. In some embodiments of a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 3.

In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R² is halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, or —OR¹⁷. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R² is independently selected from C₁₋₆alkyl, halogen, —CN, or C₁₋₆haloalkyl. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R² is halogen, C₁₋₆alkyl, or C₁₋₆haloalkyl. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R² is halogen. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R² is —Cl. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R² is —F. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R² is C₁₋₆alkyl. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R² is —CH₃. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R² is C₁₋₆haloalkyl. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R² is —CF₃. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R² is C₁₋₆alkoxy. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R² is —OCH₃. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R² is C₁₋₆haloalkoxy. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R² is —OCF₃. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R² is —OH. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 1 and R² is —CN.

In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 2 and each R² is independently halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, or —OR¹⁷. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 2 and each R² is independently halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, C₁₋₆alkoxy, —OCF₃, or —CN. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 2 and each R² is independently halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, C₁₋₆alkoxy, or —OCF₃. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 2 and each R² is independently halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, or —OCF₃. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 2 and each R² is independently halogen, C₁₋₆alkyl, or C₁₋₆haloalkyl. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 2 and each R² is independently halogen or C₁₋₆haloalkyl. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 2 and each R² is independently halogen or C₁₋₆alkyl. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 2 and each R² is independently halogen. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 2 and each R² is independently C₁₋₆alkyl. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 2 and each R² is independently C₁₋₆haloalkyl.

In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 3 and each R² is independently halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, C₁₋₆alkoxy, C₁₋₆haloalkoxy, —OH, or —CN. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 3 and each R² is independently halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, C₁₋₆alkoxy, —OCF₃, or —CN. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 3 and each R² is independently halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, C₁₋₆alkoxy, or —OCF₃. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 3 and each R² is independently halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, or —OCF₃. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 3 and each R² is independently halogen, C₁₋₆alkyl, or C₁₋₆haloalkyl. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 3 and each R² is independently halogen or C₁₋₆haloalkyl. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 3 and each R² is independently halogen or C₁₋₆alkyl. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 3 and each R² is independently halogen. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 3 and each R² is independently C₁₋₆alkyl. In some embodiments is a compound of Formula (IIb), or a pharmaceutically acceptable salt or solvate thereof, wherein n is 3 and each R² is independently C₁₋₆haloalkyl.

Further embodiments provided herein include combinations of one or more of the particular embodiments set forth above.

Preparation of the Compounds

The compounds used in the reactions described herein are made according to known organic synthesis techniques, starting from commercially available chemicals and/or from compounds described in the chemical literature. “Commercially available chemicals” are obtained from standard commercial sources including Acros Organics (Geel, Belgium), Aldrich Chemical (Milwaukee, Wis., including Sigma Chemical and Fluka), Apin Chemicals Ltd. (Milton Park, UK), Ark Pharm, Inc. (Libertyville, Ill.), Avocado Research (Lancashire, U.K.), BDH Inc. (Toronto, Canada), Bionet (Cornwall, U.K.), Chemservice Inc. (West Chester, Pa.), Combi-blocks (San Diego, Calif.), Crescent Chemical Co. (Hauppauge, N.Y.), eMolecules (San Diego, Calif.), Fisher Scientific Co. (Pittsburgh, Pa.), Fisons Chemicals (Leicestershire, UK), Frontier Scientific (Logan, Utah), ICN Biomedicals, Inc. (Costa Mesa, Calif.), Key Organics (Cornwall, U.K.), Lancaster Synthesis (Windham, N.H.), Matrix Scientific, (Columbia, S.C.), Maybridge Chemical Co. Ltd. (Cornwall, U.K.), Parish Chemical Co. (Orem, Utah), Pfaltz & Bauer, Inc. (Waterbury, Conn.), Polyorganix (Houston, Tex.), Pierce Chemical Co. (Rockford, Ill.), Riedel de Haen AG (Hanover, Germany), Ryan Scientific, Inc. (Mount Pleasant, S.C.), Spectrum Chemicals (Gardena, Calif.), Sundia Meditech, (Shanghai, China), TCI America (Portland, Oreg.), Trans World Chemicals, Inc. (Rockville, Md.), and WuXi (Shanghai, China).

Suitable reference books and treatises that detail the synthesis of reactants useful in the preparation of compounds described herein, or provide references to articles that describe the preparation, include for example, “Synthetic Organic Chemistry”, John Wiley & Sons, Inc., New York; S. R. Sandler et al., “Organic Functional Group Preparations,” 2nd Ed., Academic Press, New York, 1983; H. O. House, “Modern Synthetic Reactions”, 2nd Ed., W. A. Benjamin, Inc. Menlo Park, Calif. 1972; T. L. Gilchrist, “Heterocyclic Chemistry”, 2nd Ed., John Wiley & Sons, New York, 1992; J. March, “Advanced Organic Chemistry: Reactions, Mechanisms and Structure”, 4th Ed., Wiley-Interscience, New York, 1992. Additional suitable reference books and treatises that detail the synthesis of reactants useful in the preparation of compounds described herein, or provide references to articles that describe the preparation, include for example, Fuhrhop, J. and Penzlin G. “Organic Synthesis: Concepts, Methods, Starting Materials”, Second, Revised and Enlarged Edition (1994) John Wiley & Sons ISBN: 3-527-29074-5; Hoffman, R. V. “Organic Chemistry, An Intermediate Text” (1996) Oxford University Press, ISBN 0-19-509618-5; Larock, R. C. “Comprehensive Organic Transformations: A Guide to Functional Group Preparations” 2nd Edition (1999) Wiley-VCH, ISBN: 0-471-19031-4; March, J. “Advanced Organic Chemistry: Reactions, Mechanisms, and Structure” 4th Edition (1992) John Wiley & Sons, ISBN: 0-471-60180-2; Otera, J. (editor) “Modern Carbonyl Chemistry” (2000) Wiley-VCH, ISBN: 3-527-29871-1; Patai, S. “Patai's 1992 Guide to the Chemistry of Functional Groups” (1992) Interscience ISBN: 0-471-93022-9; Solomons, T. W. G. “Organic Chemistry” 7th Edition (2000) John Wiley & Sons, ISBN: 0-471-19095-0; Stowell, J. C., “Intermediate Organic Chemistry” 2nd Edition (1993) Wiley-Interscience, ISBN: 0-471-57456-2; “Industrial Organic Chemicals: Starting Materials and Intermediates: An Ullmann's Encyclopedia” (1999) John Wiley & Sons, ISBN: 3-527-29645-X, in 8 volumes; “Organic Reactions” (1942-2000) John Wiley & Sons, in over 55 volumes; and “Chemistry of Functional Groups” John Wiley & Sons, in 73 volumes.

Specific and analogous reactants are also identified through the indices of known chemicals prepared by the Chemical Abstract Service of the American Chemical Society, which are available in most public and university libraries, as well as through on-line databases (the American Chemical Society, Washington, D.C., may be contacted for more details). Chemicals that are known but not commercially available in catalogs are optionally prepared by custom chemical synthesis houses, where many of the standard chemical supply houses (e.g., those listed above) provide custom synthesis services. A reference for the preparation and selection of pharmaceutical salts of the piperazine carbamates described herein is P. H. Stahl & C. G. Wermuth “Handbook of Pharmaceutical Salts”, Verlag Helvetica Chimica Acta, Zurich, 2002.

Further Forms of Compounds Disclosed Herein Isomers

Furthermore, in some embodiments, the compounds described herein exist as geometric isomers. In some embodiments, the compounds described herein possess one or more double bonds. The compounds presented herein include all cis, trans, syn, anti, entgegen (E), and zusammen (Z) isomers as well as the corresponding mixtures thereof. In some situations, compounds exist as tautomers. The compounds described herein include all possible tautomers within the formulas described herein. In some situations, the compounds described herein possess one or more chiral centers and each center exists in the R configuration, or S configuration. The compounds described herein include all diastereomeric, enantiomeric, and epimeric forms as well as the corresponding mixtures thereof. In additional embodiments of the compounds and methods provided herein, mixtures of enantiomers and/or diastereoisomers, resulting from a single preparative step, combination, or interconversion are useful for the applications described herein. In some embodiments, the compounds described herein are prepared as optically pure enantiomers by chiral chromatographic resolution of the racemic mixture. In some embodiments, the compounds described herein are prepared as their individual stereoisomers by reacting a racemic mixture of the compound with an optically active resolving agent to form a pair of diastereoisomeric compounds, separating the diastereomers and recovering the optically pure enantiomers. In some embodiments, dissociable complexes are preferred (e.g., crystalline diastereomeric salts). In some embodiments, the diastereomers have distinct physical properties (e.g., melting points, boiling points, solubilities, reactivity, etc.) and are separated by taking advantage of these dissimilarities. In some embodiments, the diastereomers are separated by chiral chromatography, or preferably, by separation/resolution techniques based upon differences in solubility. In some embodiments, the optically pure enantiomer is then recovered, along with the resolving agent, by any practical means that would not result in racemization.

Labeled Compounds

In some embodiments, the compounds described herein exist in their isotopically-labeled forms. In some embodiments, the methods disclosed herein include methods of treating diseases by administering such isotopically-labeled compounds. In some embodiments, the methods disclosed herein include methods of treating diseases by administering such isotopically-labeled compounds as pharmaceutical compositions. Thus, in some embodiments, the compounds disclosed herein include isotopically-labeled compounds, which are identical to those recited herein, but for the fact that one or more atoms are replaced by an atom having an atomic mass or mass number different from the atomic mass or mass number usually found in nature. Examples of isotopes that are incorporated into compounds of the invention include isotopes of hydrogen, carbon, nitrogen, oxygen, phosphorous, sulfur, fluorine and chloride, such as ²H, ³H, ¹³C, ¹⁴C, ¹⁵N, ¹⁸O, ¹⁷O, ³¹P, ³²P, ³⁵S, ¹⁸F, and ³⁶Cl, respectively. Compounds described herein, and the pharmaceutically acceptable salts, esters, solvate, hydrates or derivatives thereof which contain the aforementioned isotopes and/or other isotopes of other atoms are within the scope of this invention. Certain isotopically-labeled compounds, for example those into which radioactive isotopes such as ³H and ¹⁴C are incorporated, are useful in drug and/or substrate tissue distribution assays. Tritiated, i. e., ³H and carbon-14, i. e., ¹⁴C, isotopes are particularly preferred for their ease of preparation and detectability. Further, substitution with heavy isotopes such as deuterium, i.e., ²H, produces certain therapeutic advantages resulting from greater metabolic stability, for example increased in vivo half-life or reduced dosage requirements. In some embodiments, the isotopically labeled compounds, pharmaceutically acceptable salt, ester, solvate, hydrate or derivative thereof is prepared by any suitable method.

In some embodiments, the compounds described herein are labeled by other means, including, but not limited to, the use of chromophores or fluorescent moieties, bioluminescent labels, or chemiluminescent labels.

Pharmaceutically Acceptable Salts

In some embodiments, the compounds described herein exist as their pharmaceutically acceptable salts. In some embodiments, the methods disclosed herein include methods of treating diseases by administering such pharmaceutically acceptable salts. In some embodiments, the methods disclosed herein include methods of treating diseases by administering such pharmaceutically acceptable salts as pharmaceutical compositions.

In some embodiments, the compounds described herein possess acidic or basic groups and therefore react with any of a number of inorganic or organic bases, and inorganic and organic acids, to form a pharmaceutically acceptable salt. In some embodiments, these salts are prepared in situ during the final isolation and purification of the compounds of the invention, or by separately reacting a purified compound in its free form with a suitable acid or base, and isolating the salt thus formed.

Solvates

In some embodiments, the compounds described herein exist as solvates. The invention provides for methods of treating diseases by administering such solvates. The invention further provides for methods of treating diseases by administering such solvates as pharmaceutical compositions.

Solvates contain either stoichiometric or non-stoichiometric amounts of a solvent, and, in some embodiments, are formed during the process of crystallization with pharmaceutically acceptable solvents such as water, ethanol, and the like. Hydrates are formed when the solvent is water, or alcoholates are formed when the solvent is alcohol. Solvates of the compounds described herein are conveniently prepared or formed during the processes described herein. By way of example only, hydrates of the compounds described herein are conveniently prepared by recrystallization from an aqueous/organic solvent mixture, using organic solvents including, but not limited to, dioxane, tetrahydrofuran or methanol. In addition, the compounds provided herein exist in unsolvated as well as solvated forms. In general, the solvated forms are considered equivalent to the unsolvated forms for the purposes of the compounds and methods provided herein.

Prodrugs

In some embodiments, the compounds described herein exist in prodrug form. The invention provides for methods of treating diseases by administering such prodrugs. The invention further provides for methods of treating diseases by administering such prodrugs as pharmaceutical compositions.

In some embodiments, prodrugs include compounds wherein an amino acid residue, or a polypeptide chain of two or more (e.g., two, three or four) amino acid residues is covalently joined through an amide or ester bond to a free amino, hydroxy or carboxylic acid group of compounds of the present invention. The amino acid residues include but are not limited to the 20 naturally occurring amino acids and also includes 4-hydroxyproline, hydroxylysine, demosine, isodemosine, 3-methylhistidine, norvaline, beta-alanine, gamma-aminobutyric acid, cirtulline, homocysteine, homoserine, ornithine and methionine sulfone. In other embodiments, prodrugs include compounds wherein a nucleic acid residue, or an oligonucleotide of two or more (e.g., two, three or four) nucleic acid residues is covalently joined to a compound of the present invention.

Pharmaceutically acceptable prodrugs of the compounds described herein also include, but are not limited to, esters, carbonates, thiocarbonates, N-acyl derivatives, N-acyloxyalkyl derivatives, quaternary derivatives of tertiary amines, N-Mannich bases, Schiff bases, amino acid conjugates, phosphate esters, metal salts and sulfonate esters. In some embodiments, compounds having free amino, amido, hydroxy or carboxylic groups are converted into prodrugs. For instance, free carboxyl groups are derivatized as amides or alkyl esters. In certain instances, all of these prodrug moieties incorporate groups including but not limited to ether, amine and carboxylic acid functionalities.

Hydroxy prodrugs include esters, such as though not limited to, acyloxyalkyl (e.g. acyloxymethyl, acyloxyethyl) esters, alkoxycarbonyloxyalkyl esters, alkyl esters, aryl esters, phosphate esters, sulfonate esters, sulfate esters and disulfide containing esters; ethers, amides, carbamates, hemisuccinates, dimethylaminoacetates and phosphoryloxymethyloxycarbonyls, as outlined in Advanced Drug Delivery Reviews 1996, 19, 115.

Amine derived prodrugs include, but are not limited to the following groups and combinations of groups:

as well as sulfonamides and phosphonamides.

In certain instances, sites on any aromatic ring portions are susceptible to various metabolic reactions, therefore incorporation of appropriate substituents on the aromatic ring structures, reduce, minimize or eliminate this metabolic pathway.

Pharmaceutical Compositions

In certain embodiments, the compound of Formula (I), (Ia), (II), (IIa), or (IIb) as described herein is administered as a pure chemical. In some embodiments, the compound of Formula (I), (Ia), (II), (IIa), or (IIb) described herein is combined with a pharmaceutically suitable or acceptable carrier (also referred to herein as a pharmaceutically suitable (or acceptable) excipient, physiologically suitable (or acceptable) excipient, or physiologically suitable (or acceptable) carrier) selected on the basis of a chosen route of administration and standard pharmaceutical practice as described, for example, in Remington: The Science and Practice of Pharmacy (Gennaro, 21^(st) Ed. Mack Pub. Co., Easton, Pa. (2005)).

Accordingly, provided herein is a pharmaceutical composition comprising at least one compound of Formula (I), (Ia), (II), (IIa), or (IIb) described herein, or a pharmaceutically acceptable salt or solvate thereof, together with one or more pharmaceutically acceptable carriers. The carrier(s) (or excipient(s)) is acceptable or suitable if the carrier is compatible with the other ingredients of the composition and not deleterious to the recipient (i.e., the subject) of the composition.

One embodiment provides a pharmaceutical composition comprising a pharmaceutically acceptable excipient and a compound of Formula (I), or a pharmaceutically acceptable salt thereof.

One embodiment provides a pharmaceutical composition comprising a pharmaceutically acceptable excipient and a compound of Formula (Ia), or a pharmaceutically acceptable salt thereof.

One embodiment provides a pharmaceutical composition comprising a pharmaceutically acceptable excipient and a compound of Formula (II), or a pharmaceutically acceptable salt thereof.

One embodiment provides a pharmaceutical composition comprising a pharmaceutically acceptable excipient and a compound of Formula (IIa), or a pharmaceutically acceptable salt thereof.

One embodiment provides a pharmaceutical composition comprising a pharmaceutically acceptable excipient and a compound of Formula (IIb), or a pharmaceutically acceptable salt thereof.

Another embodiment provides a pharmaceutical composition consisting essentially of a pharmaceutically acceptable excipient and a compound of Formula (I), or a pharmaceutically acceptable salt thereof. Another embodiment provides a pharmaceutical composition consisting essentially of a pharmaceutically acceptable excipient and a compound of Formula (Ia), or a pharmaceutically acceptable salt thereof. Another embodiment provides a pharmaceutical composition consisting essentially of a pharmaceutically acceptable excipient and a compound of Formula (II), or a pharmaceutically acceptable salt thereof. Another embodiment provides a pharmaceutical composition consisting essentially of a pharmaceutically acceptable excipient and a compound of Formula (IIa), or a pharmaceutically acceptable salt thereof. Another embodiment provides a pharmaceutical composition consisting essentially of a pharmaceutically acceptable excipient and a compound of Formula (IIb), or a pharmaceutically acceptable salt thereof.

In certain embodiments, the compound of Formula (I), (Ia), (II), (IIa), or (IIb) as described herein is substantially pure, in that it contains less than about 5%, or less than about 1%, or less than about 0.1%, of other organic small molecules, such as contaminating intermediates or by-products that are created, for example, in one or more of the steps of a synthesis method.

These pharmaceutical compositions include those suitable for oral, rectal, topical, buccal, parenteral (e.g., subcutaneous, intramuscular, intradermal, or intravenous) vaginal, ophthalmic, or aerosol administration.

Exemplary pharmaceutical compositions are used in the form of a pharmaceutical preparation, for example, in solid, semisolid or liquid form, which includes one or more of a disclosed compound, as an active ingredient, in a mixture with an organic or inorganic carrier or excipient suitable for external, enteral or parenteral applications. In some embodiments, the active ingredient is compounded, for example, with the usual non-toxic, pharmaceutically acceptable carriers for tablets, pellets, capsules, suppositories, solutions, emulsions, suspensions, and any other form suitable for use. The active object compound is included in the pharmaceutical composition in an amount sufficient to produce the desired effect upon the process or condition of the disease.

In some embodiments for preparing solid compositions such as tablets, the principal active ingredient is mixed with a pharmaceutical carrier, e.g., conventional tableting ingredients such as corn starch, lactose, sucrose, sorbitol, talc, stearic acid, magnesium stearate, dicalcium phosphate or gums, and other pharmaceutical diluents, e.g., water, to form a solid preformulation composition containing a homogeneous mixture of a disclosed compound or a non-toxic pharmaceutically acceptable salt thereof. When referring to these preformulation compositions as homogeneous, it is meant that the active ingredient is dispersed evenly throughout the composition so that the composition is readily subdivided into equally effective unit dosage forms such as tablets, pills and capsules.

In solid dosage forms for oral administration (capsules, tablets, pills, dragees, powders, granules and the like), the subject composition is mixed with one or more pharmaceutically acceptable carriers, such as sodium citrate or dicalcium phosphate, and/or any of the following: (1) fillers or extenders, such as starches, cellulose, microcrystalline cellulose, silicified microcrystalline cellulose, lactose, sucrose, glucose, mannitol, and/or silicic acid; (2) binders, such as, for example, carboxymethylcellulose, hypromellose, alginates, gelatin, polyvinyl pyrrolidone, sucrose and/or acacia; (3) humectants, such as glycerol; (4) disintegrating agents, such as crospovidone, croscarmellose sodium, sodium starch glycolate, agar-agar, calcium carbonate, potato or tapioca starch, alginic acid, certain silicates, and sodium carbonate; (5) solution retarding agents, such as paraffin; (6) absorption accelerators, such as quaternary ammonium compounds; (7) wetting agents, such as, for example, docusate sodium, cetyl alcohol and glycerol monostearate; (8) absorbents, such as kaolin and bentonite clay; (9) lubricants, such a talc, calcium stearate, magnesium stearate, solid polyethylene glycols, sodium lauryl sulfate, and mixtures thereof; and (10) coloring agents. In the case of capsules, tablets and pills, in some embodiments, the compositions comprise buffering agents. In some embodiments, solid compositions of a similar type are also employed as fillers in soft and hard-filled gelatin capsules using such excipients as lactose or milk sugars, as well as high molecular weight polyethylene glycols and the like.

In some embodiments, a tablet is made by compression or molding, optionally with one or more accessory ingredients. In some embodiments, compressed tablets are prepared using binder (for example, gelatin or hydroxypropylmethyl cellulose), lubricant, inert diluent, preservative, disintegrant (for example, sodium starch glycolate or cross-linked sodium carboxymethyl cellulose), surface-active or dispersing agent. In some embodiments, molded tablets are made by molding in a suitable machine a mixture of the subject composition moistened with an inert liquid diluent. In some embodiments, tablets, and other solid dosage forms, such as dragees, capsules, pills and granules, are scored or prepared with coatings and shells, such as enteric coatings and other coatings.

Compositions for inhalation or insufflation include solutions and suspensions in pharmaceutically acceptable, aqueous or organic solvents, or mixtures thereof, and powders. Liquid dosage forms for oral administration include pharmaceutically acceptable emulsions, microemulsions, solutions, suspensions, syrups and elixirs. In addition to the subject composition, in some embodiments, the liquid dosage forms contain inert diluents, such as, for example, water or other solvents, solubilizing agents and emulsifiers, such as ethyl alcohol, isopropyl alcohol, ethyl carbonate, ethyl acetate, benzyl alcohol, benzyl benzoate, propylene glycol, 1,3-butylene glycol, oils (in particular, cottonseed, groundnut, corn, germ, olive, castor and sesame oils), glycerol, tetrahydrofuryl alcohol, polyethylene glycols and fatty acid esters of sorbitan, cyclodextrins and mixtures thereof.

In some embodiments, suspensions, in addition to the subject composition, contain suspending agents as, for example, ethoxylated isostearyl alcohols, polyoxyethylene sorbitol and sorbitan esters, microcrystalline cellulose, aluminum metahydroxide, bentonite, agar-agar and tragacanth, and mixtures thereof.

In some embodiments, formulations for rectal or vaginal administration are presented as a suppository, which are prepared by mixing a subject composition with one or more suitable non-irritating excipients or carriers comprising, for example, cocoa butter, polyethylene glycol, a suppository wax or a salicylate, and which is solid at room temperature, but liquid at body temperature and, therefore, will melt in the body cavity and release the active agent.

Dosage forms for transdermal administration of a subject composition include powders, sprays, ointments, pastes, creams, lotions, gels, solutions, patches and inhalants. In some embodiments, the active component is mixed under sterile conditions with a pharmaceutically acceptable carrier, and with any preservatives, buffers, or propellants as required.

In some embodiments, the ointments, pastes, creams and gels contain, in addition to a subject composition, excipients, such as animal and vegetable fats, oils, waxes, paraffins, starch, tragacanth, cellulose derivatives, polyethylene glycols, silicones, bentonites, silicic acid, talc and zinc oxide, or mixtures thereof.

In some embodiments, powders and sprays contain, in addition to a subject composition, excipients such as lactose, talc, silicic acid, aluminum hydroxide, calcium silicates and polyamide powder, or mixtures of these substances. In some embodiments, sprays additionally contain customary propellants, such as chlorofluorohydrocarbons and volatile unsubstituted hydrocarbons, such as butane and propane.

In some embodiments, the compounds described herein are formulated as eye drops for ophthalmic administration.

Compositions and compounds disclosed herein alternatively are administered by aerosol. This is accomplished by preparing an aqueous aerosol, liposomal preparation or solid particles containing the compound. In some embodiments, a non-aqueous (e.g., fluorocarbon propellant) suspension is used. In some embodiments, sonic nebulizers are used because they minimize exposing the agent to shear, which results in degradation of the compounds contained in the subject compositions. Ordinarily, an aqueous aerosol is made by formulating an aqueous solution or suspension of a subject composition together with conventional pharmaceutically acceptable carriers and stabilizers. The carriers and stabilizers vary with the requirements of the particular subject composition, but typically include non-ionic surfactants (Tweens, Pluronics, or polyethylene glycol), innocuous proteins like serum albumin, sorbitan esters, oleic acid, lecithin, amino acids such as glycine, buffers, salts, sugars or sugar alcohols. Aerosols generally are prepared from isotonic solutions.

Pharmaceutical compositions suitable for parenteral administration comprise a subject composition in combination with one or more pharmaceutically-acceptable sterile isotonic aqueous or non-aqueous solutions, dispersions, suspensions or emulsions, or sterile powders which are reconstituted into sterile injectable solutions or dispersions just prior to use, which, in some embodiments, contain antioxidants, buffers, bacteriostats, solutes which render the formulation isotonic with the blood of the intended recipient or suspending or thickening agents.

Examples of suitable aqueous and non-aqueous carriers which are employed in the pharmaceutical compositions include water, ethanol, polyols (such as glycerol, propylene glycol, polyethylene glycol, and the like), and suitable mixtures thereof, vegetable oils, such as olive oil, and injectable organic esters, such as ethyl oleate and cyclodextrins. Proper fluidity is maintained, for example, by the use of coating materials, such as lecithin, by the maintenance of the required particle size in the case of dispersions, and by the use of surfactants

Also contemplated are enteral pharmaceutical formulations including a disclosed compound and an enteric material; and a pharmaceutically acceptable carrier or excipient thereof. Enteric materials refer to polymers that are substantially insoluble in the acidic environment of the stomach, and that are predominantly soluble in intestinal fluids at specific pHs. The small intestine is the part of the gastrointestinal tract (gut) between the stomach and the large intestine, and includes the duodenum, jejunum, and ileum. The pH of the duodenum is about 5.5, the pH of the jejunum is about 6.5 and the pH of the distal ileum is about 7.5. Accordingly, enteric materials are not soluble, for example, until a pH of about 5.0, of about 5.2, of about 5.4, of about 5.6, of about 5.8, of about 6.0, of about 6.2, of about 6.4, of about 6.6, of about 6.8, of about 7.0, of about 7.2, of about 7.4, of about 7.6, of about 7.8, of about 8.0, of about 8.2, of about 8.4, of about 8.6, of about 8.8, of about 9.0, of about 9.2, of about 9.4, of about 9.6, of about 9.8, or of about 10.0. Exemplary enteric materials include cellulose acetate phthalate (CAP), hydroxypropyl methylcellulose phthalate (HPMCP), polyvinyl acetate phthalate (PVAP), hydroxypropyl methylcellulose acetate succinate (HPMCAS), cellulose acetate trimellitate, hydroxypropyl methylcellulose succinate, cellulose acetate succinate, cellulose acetate hexahydrophthalate, cellulose propionate phthalate, cellulose acetate maleate, cellulose acetate butyrate, cellulose acetate propionate, copolymer of methylmethacrylic acid and methyl methacrylate, copolymer of methyl acrylate, methylmethacrylate and methacrylic acid, copolymer of methylvinyl ether and maleic anhydride (Gantrez ES series), ethyl methylacrylate-methylmethacrylate-chlorotrimethylammonium ethyl acrylate copolymer, natural resins such as zein, shellac and copal collophorium, and several commercially available enteric dispersion systems (e.g., Eudragit L30D55, Eudragit FS30D, Eudragit L100, Eudragit S100, Kollicoat EMM30D, Estacryl 30D, Coateric, and Aquateric). The solubility of each of the above materials is either known or is readily determinable in vitro.

The dose of the composition comprising at least one compound of Formula (I), (Ia), (II), (IIa), or (IIb) as described herein differs, depending upon the patient's (e.g., human) condition, that is, stage of the disease, general health status, age, and other factors.

Pharmaceutical compositions are administered in a manner appropriate to the disease to be treated (or prevented). An appropriate dose and a suitable duration and frequency of administration will be determined by such factors as the condition of the patient, the type and severity of the patient's disease, the particular form of the active ingredient, and the method of administration. In general, an appropriate dose and treatment regimen provides the composition(s) in an amount sufficient to provide therapeutic and/or prophylactic benefit (e.g., an improved clinical outcome, such as more frequent complete or partial remissions, or longer disease-free and/or overall survival, or a lessening of symptom severity. Optimal doses are generally determined using experimental models and/or clinical trials. In some embodiments, the optimal dose depends upon the body mass, weight, or blood volume of the patient.

Oral doses typically range from about 1.0 mg to about 1000 mg, one to four times, or more, per day.

Methods

Disclosed herein are methods of modulating the activity of MAGL. Contemplated methods, for example, comprise exposing said enzyme to a compound described herein. In some embodiments, the compound utilized by one or more of the foregoing methods is one of the generic, subgeneric, or specific compounds described herein, such as a compound of Formula (I), (Ia), (II), (IIa), or (IIb), or a pharmaceutically acceptable salt or solvate thereof. The ability of compounds described herein to modulate or inhibit MAGL is evaluated by procedures known in the art and/or described herein. Another aspect of this disclosure provides methods of treating a disease associated with expression or activity of MAGL in a patient.

Also disclosed herein are methods of treating and/or preventing in a patient in need thereof a disorder such as one or more of acute or chronic pain and neuropathy. Disclosed methods include administering a pharmaceutically effective amount of a compound described herein.

In another embodiment is a method of treating pain in a patient, comprising administering a therapeutically effective amount of a compound of Formula (I), (Ia), (II), (IIa), or (IIb) described herein, or a pharmaceutically acceptable salt or solvate thereof, to a patient in need thereof to treat said pain. In another embodiment is a method of treating neuropathic pain in a patient, comprising administering a therapeutically effective amount of a compound of Formula (I), (Ia), (II), (IIa), or (IIb) described herein, or a pharmaceutically acceptable salt or solvate thereof, to a patient in need thereof to treat said neuropathic pain. In another embodiment is a method of treating inflammatory pain in a patient, comprising administering a therapeutically effective amount of a compound of Formula (I), (Ia), (II), (IIa), or (IIb) described herein, or a pharmaceutically acceptable salt or solvate thereof, to a patient in need thereof to treat said inflammatory pain. In another embodiment is a method of treating complex regional pain syndrome in a patient in need thereof, comprising administering to the patient a therapeutically effective amount of a compound of Formula (I), (Ia), (II), (IIa), or (IIb) described herein, or a pharmaceutically acceptable salt or solvate thereof.

In another embodiment is a method of treating a disease or disorder in a patient comprising administering to the patient in need thereof a therapeutically effective amount of a compound of Formula (I), (Ia), (II), (IIa), or (IIb) described herein, or a pharmaceutically acceptable salt or solvate thereof, wherein the disease or disorder is selected from the group consisting of epilepsy/seizure disorder, multiple sclerosis, neuromyelitis optica (NMO), Tourette syndrome, Alzheimer's disease, and abdominal pain associated with irritable bowel syndrome. In another embodiment is a method of treating epilepsy/seizure disorder in a patient comprising administering to the patient in need thereof a therapeutically effective amount of a compound of Formula (I), (Ia), (II), (IIa), or (IIb) described herein, or a pharmaceutically acceptable salt or solvate thereof. In another embodiment is a method of treating multiple sclerosis in a patient comprising administering to the patient in need thereof a therapeutically effective amount of a compound of Formula (I), (Ia), (II), (IIa), or (IIb) described herein, or a pharmaceutically acceptable salt or solvate thereof. In another embodiment is a method of treating neuromyelitis optica (NMO) in a patient comprising administering to the patient in need thereof a therapeutically effective amount of a compound of Formula (I), (Ia), (II), (IIa), or (IIb) described herein, or a pharmaceutically acceptable salt or solvate thereof. In another embodiment is a method of treating Tourette syndrome in a patient comprising administering to the patient in need thereof a therapeutically effective amount of a compound of Formula (I), (Ia), (II), (IIa), or (IIb) described herein, or a pharmaceutically acceptable salt or solvate thereof. In another embodiment is a method of treating Alzheimer's disease in a patient comprising administering to the patient in need thereof a therapeutically effective amount of a compound of Formula (I), (Ia), (II), (IIa), or (IIb) described herein, or a pharmaceutically acceptable salt or solvate thereof. In another embodiment is a method of treating abdominal pain associated with irritable bowel syndrome in a patient comprising administering to the patient in need thereof a therapeutically effective amount of a compound of Formula (I), (Ia), (II), (IIa), or (IIb) described herein, or a pharmaceutically acceptable salt or solvate thereof.

In another embodiment is a method of treating acute pain, inflammatory pain, cancer pain, pain caused by peripheral neuropathy, central pain, fibromyalgia, migraine, vasoocclussive painful crises in sickle cell disease, spasticity or pain associated with multiple sclerosis, functional chest pain, rheumatoid arthritis, osteoarthritis, or functional dyspepsia in a patient in need thereof, comprising administering to the patient a therapeutically effective amount of a compound of Formula (I), (Ia), (II), (IIa), or (IIb) described herein, or a pharmaceutically acceptable salt or solvate thereof. In another embodiment is a method of treating acute pain in a patient in need thereof, comprising administering to the patient a therapeutically effective amount of a compound of Formula (I), (Ia), (II), (IIa), or (IIb) described herein, or a pharmaceutically acceptable salt or solvate thereof. In another embodiment is a method of treating inflammatory pain in a patient in need thereof, comprising administering to the patient a therapeutically effective amount of a compound of Formula (I), (Ia), (II), (IIa), or (IIb) described herein, or a pharmaceutically acceptable salt or solvate thereof. In another embodiment is a method of treating cancer pain in a patient in need thereof, comprising administering to the patient a therapeutically effective amount of a compound of Formula (I), (Ia), (II), (IIa), or (IIb) described herein, or a pharmaceutically acceptable salt or solvate thereof. In another embodiment is a method of treating pain caused by peripheral neuropathy in a patient in need thereof, comprising administering to the patient a therapeutically effective amount of a compound of Formula (I), (Ia), (II), (IIa), or (IIb) described herein, or a pharmaceutically acceptable salt or solvate thereof. In another embodiment is a method of treating central pain in a patient in need thereof, comprising administering to the patient a therapeutically effective amount of a compound of Formula (I), (Ia), (II), (IIa), or (IIb) described herein, or a pharmaceutically acceptable salt or solvate thereof. In another embodiment is a method of treating fibromyalgia in a patient in need thereof, comprising administering to the patient a therapeutically effective amount of a compound of Formula (I), (Ia), (II), (IIa), or (IIb) described herein, or a pharmaceutically acceptable salt or solvate thereof. In another embodiment is a method of treating migraine in a patient in need thereof, comprising administering to the patient a therapeutically effective amount of a compound of Formula (I), (Ia), (II), (IIa), or (IIb) described herein, or a pharmaceutically acceptable salt or solvate thereof. In another embodiment is a method of treating vasoocclussive painful crises in sickle cell disease in a patient in need thereof, comprising administering to the patient a therapeutically effective amount of a compound of Formula (I), (Ia), (II), (IIa), or (IIb) described herein, or a pharmaceutically acceptable salt or solvate thereof. In another embodiment is a method of treating spasticity or pain associated with multiple sclerosis in a patient in need thereof, comprising administering to the patient a therapeutically effective amount of a compound of Formula (I), (Ia), (II), (IIa), or (IIb) described herein, or a pharmaceutically acceptable salt or solvate thereof. In another embodiment is a method of treating functional chest pain in a patient in need thereof, comprising administering to the patient a therapeutically effective amount of a compound of Formula (I), (Ia), (II), (IIa), or (IIb) described herein, or a pharmaceutically acceptable salt or solvate thereof. In another embodiment is a method of treating rheumatoid arthritis in a patient in need thereof, comprising administering to the patient a therapeutically effective amount of a compound of Formula (I), (Ia), (II), (IIa), or (IIb) described herein, or a pharmaceutically acceptable salt or solvate thereof. In another embodiment is a method of treating osteoarthritis in a patient in need thereof, comprising administering to the patient a therapeutically effective amount of a compound of Formula (I), (Ia), (II), (IIa), or (IIb) described herein, or a pharmaceutically acceptable salt or solvate thereof. In another embodiment is a method of treating functional dyspepsia in a patient in need thereof, comprising administering to the patient a therapeutically effective amount of a compound of Formula (I), (Ia), (II), (IIa), or (IIb) described herein, or a pharmaceutically acceptable salt or solvate thereof.

In some embodiments, disclosed herein is a method of treating Persistent Motor Tic Disorder in a patient in need thereof, comprising administering to the patient a therapeutically effective amount of a compound of Formula (I), (Ia), (II), (IIa), or (IIb) described herein, or a pharmaceutically acceptable salt or solvate thereof. In some embodiments, disclosed herein is a method of treating Persistent Vocal Tic Disorder in a patient in need thereof, comprising administering to the patient a therapeutically effective amount of a compound of Formula (I), (Ia), (II), (IIa), or (IIb) described herein, or a pharmaceutically acceptable salt or solvate thereof.

In another embodiment is a method of lowering intraocular eye pressure (IOP) in a patient in need thereof, comprising administering to the patient a therapeutically effective amount of a compound of Formula (I), (Ia), (II), (IIa), or (IIb) described herein, or a pharmaceutically acceptable salt or solvate thereof. In another embodiment is a method of treating glaucoma in a patient in need thereof, comprising administering to the patient a therapeutically effective amount of a compound of Formula (I), (Ia), (II), (IIa), or (IIb) described herein, or a pharmaceutically acceptable salt or solvate thereof.

In some embodiments, disclosed herein is a method of treating attention deficit and hyperactivity disorder (ADHD) in a patient in need thereof, comprising administering to the patient a therapeutically effective amount of a compound of Formula (I), (Ia), (II), (IIa), or (IIb) described herein, or a pharmaceutically acceptable salt or solvate thereof. In some embodiments, disclosed herein is a method of treating obsessive-compulsive disorder (OCD) in a patient in need thereof, comprising administering to the patient a therapeutically effective amount of a compound of Formula (I), (Ia), (II), (IIa), or (IIb) described herein, or a pharmaceutically acceptable salt or solvate thereof.

In another embodiment is a method of treating atopic dermatitis in a patient in need thereof, comprising administering to the patient a therapeutically effective amount of a compound of Formula (I), (Ia), (II), (IIa), or (IIb) described herein, or a pharmaceutically acceptable salt or solvate thereof.

In another embodiment is a method of treating pruritis in a patient in need thereof, comprising administering to the patient a therapeutically effective amount of a compound of Formula (I), (Ia), (II), (IIa), or (IIb) described herein, or a pharmaceutically acceptable salt or solvate thereof.

In another embodiment is a method of treating Down's syndrome in a patient in need thereof, comprising administering to the patient a therapeutically effective amount of a compound of Formula (I), (Ia), (II), (IIa), or (IIb) described herein, or a pharmaceutically acceptable salt or solvate thereof.

In some embodiments, disclosed herein is a method of synergistically potentiating the activity of an opioid analgesic in a patient being treated with an opioid analgesic, comprising administering to the patient a therapeutically effective amount of a compound of Formula (I), (Ia), (II), (IIa), or (IIb) described herein, or a pharmaceutically acceptable salt or solvate thereof. In some embodiments, disclosed herein is a method of reducing the acute side-effects associated with an opioid analgesic in a patient being treated with an opioid analgesic, comprising administering to the patient a therapeutically effective amount of a compound of Formula (I), (Ia), (II), (IIa), or (IIb) described herein, or a pharmaceutically acceptable salt or solvate thereof.

In another embodiment is a method of treating dystonia in a patient in need thereof, comprising administering to the patient a therapeutically effective amount of a compound of Formula (I), (Ia), (II), (IIa), or (IIb) described herein, or a pharmaceutically acceptable salt or solvate thereof.

In some embodiments, disclosed herein is a method of treating Amyotrophic Lateral Sclerosis (ALS) or ALS-related symptoms in a patient in need thereof, comprising administering to the patient a therapeutically effective amount of a compound of Formula (I), (Ia), (II), (IIa), or (IIb) described herein, or a pharmaceutically acceptable salt or solvate thereof.

In some embodiments, disclosed herein is a method of treating agitation in autism in a patient in need thereof, comprising administering to the patient a therapeutically effective amount of a compound of Formula (I), (Ia), (II), (IIa), or (IIb) described herein, or a pharmaceutically acceptable salt or solvate thereof.

In another embodiment is a method of treating sleep disturbance or bladder dysfunction associated with multiple sclerosis in a patient in need thereof, comprising administering to the patient a therapeutically effective amount of a compound of Formula (I), (Ia), (II), (IIa), or (IIb) described herein, or a pharmaceutically acceptable salt or solvate thereof.

In some embodiments, disclosed herein is a method of treating Huntington's Disease in a patient in need thereof, comprising administering to the patient a therapeutically effective amount of a compound of Formula (I), (Ia), (II), (IIa), or (IIb) described herein, or a pharmaceutically acceptable salt or solvate thereof.

In some embodiments, disclosed herein is a method of Parkinson's Disease in a patient in need thereof, comprising administering to the patient a therapeutically effective amount of a compound of Formula (I), (Ia), (II), (IIa), or (IIb) described herein, or a pharmaceutically acceptable salt or solvate thereof.

In some embodiments, disclosed herein is a method of improving functional outcome following stroke in a patient in need thereof, comprising administering to the patient a therapeutically effective amount of a compound of Formula (I), (Ia), (II), (IIa), or (IIb) described herein, or a pharmaceutically acceptable salt or solvate thereof.

In some embodiments, disclosed herein is a method of treating traumatic brain injury in a patient in need thereof, comprising administering to the patient a therapeutically effective amount of a compound of Formula (I), (Ia), (II), (IIa), or (IIb) described herein, or a pharmaceutically acceptable salt or solvate thereof.

In some embodiments, disclosed herein is a method of treating trigeminal neuralgia in a patient in need thereof, comprising administering to the patient a therapeutically effective amount of a compound of Formula (I), (Ia), (II), (IIa), or (IIb) described herein, or a pharmaceutically acceptable salt or solvate thereof. In some embodiments, disclosed herein is a method of treating glossopharyngeal neuralgia in a patient in need thereof, comprising administering to the patient a therapeutically effective amount of a compound of Formula (I), (Ia), (II), (IIa), or (IIb) described herein, or a pharmaceutically acceptable salt or solvate thereof.

In certain embodiments, a disclosed compound utilized by one or more of the foregoing methods is one of the generic, subgeneric, or specific compounds described herein, such as a compound of Formula (I), (Ia), (II), (IIa), or (IIb).

Disclosed compounds are administered to patients (animals and humans) in need of such treatment in dosages that will provide optimal pharmaceutical efficacy. It will be appreciated that the dose required for use in any particular application will vary from patient to patient, not only with the particular compound or composition selected, but also with the route of administration, the nature of the condition being treated, the age and condition of the patient, concurrent medication or special diets then being followed by the patient, and other factors, with the appropriate dosage ultimately being at the discretion of the attendant physician. For treating clinical conditions and diseases noted above, a contemplated compound disclosed herein is administered orally, subcutaneously, topically, parenterally, by inhalation spray or rectally in dosage unit formulations containing conventional non-toxic pharmaceutically acceptable carriers, adjuvants and vehicles. Parenteral administration include subcutaneous injections, intravenous or intramuscular injections or infusion techniques.

Also contemplated herein are combination therapies, for example, co-administering a disclosed compound and an additional active agent, as part of a specific treatment regimen intended to provide the beneficial effect from the co-action of these therapeutic agents. The beneficial effect of the combination includes, but is not limited to, pharmacokinetic or pharmacodynamic co-action resulting from the combination of therapeutic agents. Administration of these therapeutic agents in combination typically is carried out over a defined time period (usually weeks, months or years depending upon the combination selected). Combination therapy is intended to embrace administration of multiple therapeutic agents in a sequential manner, that is, wherein each therapeutic agent is administered at a different time, as well as administration of these therapeutic agents, or at least two of the therapeutic agents, in a substantially simultaneous manner.

Substantially simultaneous administration is accomplished, for example, by administering to the subject a single formulation or composition, (e.g., a tablet or capsule having a fixed ratio of each therapeutic agent or in multiple, single formulations (e.g., capsules) for each of the therapeutic agents. Sequential or substantially simultaneous administration of each therapeutic agent is effected by any appropriate route including, but not limited to, oral routes, intravenous routes, intramuscular routes, and direct absorption through mucous membrane tissues. The therapeutic agents are administered by the same route or by different routes. For example, a first therapeutic agent of the combination selected is administered by intravenous injection while the other therapeutic agents of the combination are administered orally. Alternatively, for example, all therapeutic agents are administered orally or all therapeutic agents are administered by intravenous injection.

Combination therapy also embraces the administration of the therapeutic agents as described above in further combination with other biologically active ingredients and non-drug therapies. Where the combination therapy further comprises a non-drug treatment, the non-drug treatment is conducted at any suitable time so long as a beneficial effect from the co-action of the combination of the therapeutic agents and non-drug treatment is achieved. For example, in appropriate cases, the beneficial effect is still achieved when the non-drug treatment is temporally removed from the administration of the therapeutic agents, perhaps by days or even weeks.

The components of the combination are administered to a patient simultaneously or sequentially. It will be appreciated that the components are present in the same pharmaceutically acceptable carrier and, therefore, are administered simultaneously. Alternatively, the active ingredients are present in separate pharmaceutical carriers, such as conventional oral dosage forms, that are administered either simultaneously or sequentially.

For example, e.g., for contemplated treatment of pain, a disclosed compound is co-administered with another therapeutic for pain such as an opioid, a cannabinoid receptor (CB-1 or CB-2) modulator, a COX-2 inhibitor, acetaminophen, and/or a non-steroidal anti-inflammatory agent. Additional therapeutics e.g., for the treatment of pain that are co-administered, include morphine, codeine, hydromorphone, hydrocodone, oxymorphone, fentanyl, tramadol, and levorphanol.

Other contemplated therapeutics for co-administration include aspirin, naproxen, ibuprofen, salsalate, diflunisal, dexibuprofen, fenoprofen, ketoprofen, oxaprozin, loxoprofen, indomethacin, tolmetin, sulindac, etodolac, ketorolac, piroxicam, meloxicam, tenoxicam, droxicam, lornoxicam, celecoxib, parecoxib, rimonabant, and/or etoricoxib.

The following examples are provided merely as illustrative of various embodiments and shall not be construed to limit the invention in any way.

EXAMPLES List of Abbreviations

As used above, and throughout the description of the invention, the following abbreviations, unless otherwise indicated, shall be understood to have the following meanings:

-   -   ACN or MeCN acetonitrile     -   Bn benzyl     -   BOC or Boc t-butyl carbamate     -   CDI 1,1′-carbonyldiimidazole     -   Cy cyclohexyl     -   DCE dichloroethane (ClCH₂CH₂Cl)     -   DCM dichloromethane (CH₂Cl₂)     -   DIPEA or DIEA diisopropylethylamine     -   DMAP 4-(N,N-dimethylamino)pyridine     -   DMF dimethylformamide     -   DMA N,N-dimethylacetamide     -   DMSO dimethylsulfoxide     -   equiv equivalent(s)     -   Et ethyl     -   EtOH ethanol     -   EtOAc ethyl acetate     -   HATU         1-[bis(dimethylamino)methylene]-1H-1,2,3-triazolo[4,5-b]pyridinium         3-oxid hexafluorophosphate     -   HPLC high performance liquid chromatography     -   LAH lithium aluminum hydride     -   Me methyl     -   MeOH methanol     -   MS mass spectroscopy     -   NMM N-methylmorpholine     -   NMR nuclear magnetic resonance     -   PMB para-methoxybenzyl     -   TEA triethylamine     -   TFA trifluoroacetic acid     -   THF tetrahydrofuran     -   TLC thin layer chromatography

I. Chemical Synthesis

Unless otherwise noted, reagents and solvents were used as received from commercial suppliers. Anhydrous solvents and oven-dried glassware were used for synthetic transformations sensitive to moisture and/or oxygen. Yields were not optimized. Reaction times are approximate and were not optimized. Column chromatography and thin layer chromatography (TLC) were performed on silica gel unless otherwise noted. Spectra are given in ppm (δ) and coupling constants (J) are reported in Hertz. For proton spectra the solvent peak was used as the reference peak.

Example 1: 2-(5-Chloro-2-((4-(((1,1,1,3,3,3-hexafluoropropan-2-yl)oxy)carbonyl)piperazin-1-yl)methyl)phenoxy)-2-methylpropanoic Acid

Step 1: Preparation of t-butyl 2-(5-chloro-2-formylphenoxy)-2-methylpropanoate

A round-bottom flask was charged with 4-chloro-2-hydroxybenzaldehyde (1.00 g, 6.41 mmol, 1.00 equiv), t-butyl 2-bromo-2-methylpropanoate (2.85 g, 12.8 mmol, 2.00 equiv), cesium carbonate (6.27 g, 19.2 mmol, 3.00 equiv), and DMF (10 mL). The reaction mixture was stirred overnight at 100° C. and quenched with water (30 mL). The resulting solution was extracted with EtOAc (2×50 mL) and the organic layers were combined, washed with brine (2×30 mL), dried over anhydrous Na₂SO₄, filtered and concentrated under reduced pressure. The residue was chromatographed on a silica gel column to provide 0.450 g (24% yield) of t-butyl 2-(5-chloro-2-formylphenoxy)-2-methylpropanoate as a brown oil. LCMS (ESI, m/z): 243 [M+H-t-Bu]⁺.

Step 2: Preparation of 1,1,1,3,3,3-hexafluoropropan-2-yl 4-(2-((1-(t-butoxy)-2-methyl-1-oxopropan-2-yl)oxy)-4-chlorobenzyl)piperazine-1-carboxylate

A round-bottom flask was charged with t-butyl 2-(5-chloro-2-formylphenoxy)-2-methylpropanoate (384 mg, 1.29 mmol, 1.00 equiv), 1,1,1,3,3,3-hexafluoropropan-2-yl piperazine-1-carboxylate (434 mg, 1.55 mmol, 1.20 equiv), TEA (391 mg, 3.87 mmol, 3.00 equiv), and DCE (10 mL). The mixture was stirred for 1 h at room temperature prior to addition of sodium triacetoxyborohydride (820 mg, 3.87 mmol, 3.00 equiv). The reaction mixture was stirred overnight at room temperature and quenched with water (30 mL). The resulting solution was extracted with DCM (2×50 mL) and the organic layers were combined, washed with brine (2×30 mL), dried over anhydrous Na₂SO₄, filtered and concentrated under reduced pressure. The residue was chromatographed on a silica gel column to provide 300 mg (41% yield) of 1,1,1,3,3,3-hexafluoropropan-2-yl 4-(2-((1-(t-butoxy)-2-methyl-1-oxopropan-2-yl)oxy)-4-chlorobenzyl)piperazine-1-carboxylate as a light yellow oil. LCMS (ESI, m/z): 563 [M+H]⁺.

Step 3: Preparation of 2-(5-chloro-2-((4-(((1,1,1,3,3,3-hexafluoropropan-2-yl)oxy)carbonyl)piperazin-1-yl)methyl)phenoxy)-2-methylpropanoic Acid

A round-bottom flask was charged with 1,1,1,3,3,3-hexafluoropropan-2-yl 4-(2-((1-(t-butoxy)-2-methyl-1-oxopropan-2-yl)oxy)-4-chlorobenzyl)piperazine-1-carboxylate (300 mg, 0.534 mmol, 1.00 equiv), concentrated HCl (5 mL), and 1,4-dioxane (10 mL). The resulting solution was stirred overnight at room temperature and concentrated under reduced pressure. The crude product was dissolved in DCM (5 mL). The pH value of the solution was adjusted to 8 with saturated NaHCO₃ solution. The mixture was extracted with DCM (3×20 mL) and the organic layers were combined, washed with brine (2×10 mL), dried over anhydrous Na₂SO₄, filtered and concentrated under reduced pressure. The crude product (200 mg) was purified by preparative HPLC to provide 69.1 mg (26% yield) of 2-(5-chloro-2-((4-(((1,1,1,3,3,3-hexafluoropropan-2-yl)oxy)carbonyl)piperazin-1-yl)methyl)phenoxy)-2-methylpropanoic acid as a white solid. ¹H NMR (300 MHz, Chloroform-d) δ 7.10-7.01 (m, 3H), 5.77-5.68 (m, 1H), 3.70 (s, 4H), 3.62 (s, 2H), 2.62 (s, 4H), 1.72 (s, 6H). LCMS (ESI, m/z): 507 [M+H]⁺.

Example 2: 2-(2-((4-(((1,1,1,3,3,3-Hexafluoropropan-2-yl)oxy)carbonyl)piperazin-1-yl)methyl)-6-(trifluoromethyl)phenoxy)-2-methylpropanoic Acid

Step 1: Preparation of methyl 2-(2-formyl-6-(trifluoromethyl)phenoxy)-2-methylpropanoate

A round-bottom flask was charged with 2-hydroxy-3-(trifluoromethyl)benzaldehyde (1.00 g, 5.26 mmol, 1.00 equiv), methyl 2-bromo-2-methylpropanoate (1.89 g, 10.5 mmol, 2.00 equiv), cesium carbonate (5.14 g, 15.8 mmol, 3.00 equiv), and DMF (10 mL). The reaction mixture was stirred overnight at 120° C. and quenched with water (30 mL). The resulting solution was extracted with EtOAc (2×50 mL) and the organic layers were combined, washed with brine (2×30 mL), dried over anhydrous Na₂SO₄, filtered and concentrated under reduced pressure. The residue was chromatographed on a silica gel column to provide 0.650 g (43% yield) of methyl 2-(2-formyl-6-(trifluoromethyl)phenoxy)-2-methylpropanoate as a yellow oil. ¹H NMR (400 MHz, Chloroform-d) δ 10.22 (s, 1H), 8.04 (d, J=8.0 Hz, 1H), 7.87 (d, J=8.0 Hz, 1H), 7.40 (t, J=7.8 Hz, 1H), 3.85 (s, 3H), 1.55 (s, 6H).

Step 2: Preparation of t-butyl 4-(2-((1-methoxy-2-methyl-1-oxopropan-2-yl)oxy)-3-(trifluoromethyl)benzyl)piperazine-1-carboxylate

A round-bottom flask was charged with methyl 2-(2-formyl-6-(trifluoromethyl)phenoxy)-2-methylpropanoate (250 mg, 0.860 mmol, 1.00 equiv), t-butyl piperazine-1-carboxylate (192 mg, 1.03 mmol, 1.20 equiv), and DCE (10 mL). The mixture was stirred for 1 h at room temperature prior to addition of sodium triacetoxyborohydride (548 mg, 2.58 mmol, 3.00 equiv). The reaction mixture was stirred overnight at room temperature and quenched with water (30 mL). The resulting solution was extracted with DCM (2×50 mL) and the organic layers were combined, washed with brine (2×30 mL), dried over anhydrous Na₂SO₄, filtered and concentrated under reduced pressure. The residue was chromatographed on a silica gel column to provide 310 mg (78% yield) of t-butyl 4-(2-((1-methoxy-2-methyl-1-oxopropan-2-yl)oxy)-3-(trifluoromethyl)benzyl)piperazine-1-carboxylate as a yellow oil. LCMS (ESI, m/z): 461 [M+H]⁺.

Step 3: Preparation of 2-(2-((4-(t-butoxycarbonyl)piperazin-1-yl)methyl)-6-(trifluoromethyl)phenoxy)-2-methylpropanoic Acid

A round-bottom flask was charged with t-butyl 4-(2-((1-methoxy-2-methyl-1-oxopropan-2-yl)oxy)-3-(trifluoromethyl)benzyl)piperazine-1-carboxylate (340 mg, 0.740 mmol, 1.00 equiv), lithium hydroxide (267 mg, 11.1 mmol, 15.0 equiv), water (5 mL), and THF (5 mL). The resulting solution was stirred overnight at room temperature. The pH value of the solution was adjusted to 5 with HCl (1 mol/L). The resulting solution was extracted with DCM (2×50 mL) and the organic layers were combined, washed with brine (2×30 mL), dried over anhydrous Na₂SO₄, filtered and concentrated under reduced pressure to provide 300 mg (91% yield) of 2-(2-((4-(t-butoxycarbonyl)piperazin-1-yl)methyl)-6-(trifluoromethyl)phenoxy)-2-methylpropanoic acid as a white solid. LCMS (ESI, m/z): 447 [M+H]⁺.

Step 4: Preparation of 2-methyl-2-(2-(piperazin-1-ylmethyl)-6-(trifluoromethyl)phenoxy)propanoic Acid

A round-bottom flask was charged with 2-(2-((4-(t-butoxycarbonyl)piperazin-1-yl)methyl)-6-(trifluoromethyl)phenoxy)-2-methylpropanoic acid (300 mg, 0.673 mmol, 1.00 equiv), concentrated HCl (2 mL), and 1,4-dioxane (8 mL). The resulting solution was stirred for 3 h at room temperature and concentrated under reduced pressure to provide 233 mg (quantitative) of 2-methyl-2-(2-(piperazin-1-ylmethyl)-6-(trifluoromethyl)phenoxy)propanoic acid as a yellow oil. LCMS (ESI, m/z): 347 [M+H]⁺.

Step 5: Preparation of 2-(2-((4-(((1,1,1,3,3,3-hexafluoropropan-2-yl)oxy)carbonyl)piperazin-1-yl)methyl)-6-(trifluoromethyl)phenoxy)-2-methylpropanoic Acid

A round-bottom flask was charged with 1,1,1,3,3,3-hexafluoropropan-2-ol (226 mg, 1.34 mmol, 2.00 equiv), triphosgene (140 mg, 0.470 mmol, 0.70 equiv), and DCM (10 mL). The mixture was cooled to 0° C. prior to dropwise addition of DIPEA (260 mg, 2.02 mmol, 3.00 equiv). After stirring the reaction mixture for 1 h at room temperature, 2-methyl-2-(2-(piperazin-1-ylmethyl)-6-(trifluoromethyl)phenoxy)propanoic acid (233 mg, 0.670 mmol, 1.00 equiv) was added. The resulting solution was stirred overnight at room temperature and quenched with water (30 mL). The mixture was extracted with DCM (2×50 mL) and the organic layers were combined, washed with brine (2×30 mL), dried over anhydrous Na₂SO₄, filtered and concentrated under reduced pressure. The crude product (250 mg) was purified by preparative HPLC to afford 146.1 mg (40% yield) of 2-(2-((4-(((1,1,1,3,3,3-hexafluoropropan-2-yl)oxy)carbonyl)piperazin-1-yl)methyl)-6-(trifluoromethyl)phenoxy)-2-methylpropanoic acid as a white solid. ¹H NMR (400 MHz, Chloroform-d) δ 7.69 (d, J=8.0 Hz, 1H), 7.43 (d, J=7.2 Hz, 1H), 7.27-7.25 (m, 1H), 5.77-5.71 (m, 1H), 3.71-3.68 (m, 6H), 2.55-2.51 (m, 4H), 1.56 (s, 6H). LCMS (ESI, m/z): 541 [M+H]⁺.

Example 3: 2-(2-((4-(((1,1,1,3,3,3-Hexafluoropropan-2-yl)oxy)carbonyl)piperazin-1-yl)methyl)-5-(trifluoromethyl)phenoxy)-2-methylpropanoic Acid

Step 1: Preparation of t-butyl 2-(2-formyl-5-(trifluoromethyl)phenoxy)-2-methylpropanoate

A round-bottom flask was charged with 2-hydroxy-4-(trifluoromethyl)benzaldehyde (0.200 g, 1.05 mmol, 1.00 equiv), tert-butyl 2-bromo-2-methylpropanoate (0.466 g, 2.09 mmol, 2.00 equiv), cesium carbonate (1.03 g, 3.16 mmol, 3.00 equiv), and DMF (5 mL). The reaction mixture was stirred overnight at 60° C. and quenched with water (20 mL). The resulting solution was extracted with DCM (3×20 mL) and the organic layers were combined, washed with brine (20 mL), dried over anhydrous Na₂SO₄, filtered and concentrated under reduced pressure. The residue was chromatographed to provide 0.150 g (52% yield) of t-butyl 2-(2-formyl-5-(trifluoromethyl)phenoxy)-2-methylpropanoate acid as a yellow oil. LCMS (ESI, m/z): 333 [M+H]⁺.

Step 2: Preparation of 1,1,1,3,3,3-hexafluoropropan-2-yl 4-(2-((1-(tert-butoxy)-2-methyl-1-oxopropan-2-yl)oxy)-4-(trifluoromethyl)benzyl)piperazine-1-carboxylate

A round-bottom flask was charged with t-butyl 2-(2-formyl-5-(trifluoromethyl)phenoxy)-2-methylpropanoate acid (200 mg, 0.600 mmol, 1.00 equiv), 1,1,1,3,3,3-hexafluoropropan-2-yl piperazine-1-carboxylate (202 mg, 0.720 mmol, 1.20 equiv), and DCM (10 mL). The mixture was stirred for 1 h at room temperature prior to addition of sodium triacetoxyborohydride (511 mg, 2.41 mmol, 4.00 equiv). The reaction mixture was stirred overnight at room temperature and quenched with water (20 mL). The resulting solution was extracted with DCM (3×20 mL) and the organic layers were combined, washed with brine (30 mL), dried over anhydrous Na₂SO₄, filtered and concentrated under reduced pressure. The residue was chromatographed on a silica gel column to provide 300 mg (84% yield) of 1,1,1,3,3,3-hexafluoropropan-2-yl 4-(2-((1-(t-butoxy)-2-methyl-1-oxopropan-2-yl)oxy)-4-(trifluoromethyl)benzyl)piperazine-1-carboxylate as a yellow oil. LCMS (ESI, m/z): 597 [M+H]⁺.

Step 3: Preparation of 2-(2-((4-(((1,1,1,3,3,3-hexafluoropropan-2-yl)oxy)carbonyl)piperazin-1-yl)methyl)-5-(trifluoromethyl)phenoxy)-2-methylpropanoic Acid

A round-bottom flask was charged with 1,1,1,3,3,3-hexafluoropropan-2-yl 4-(2-((1-(t-butoxy)-2-methyl-1-oxopropan-2-yl)oxy)-4-(trifluoromethyl)benzyl)piperazine-1-carboxylate (200 mg, 0.335 mmol, 1.00 equiv), TFA (3 mL), and DCM (10 mL). The resulting solution was stirred overnight at room temperature and concentrated under reduced pressure. The crude product was dissolved in saturated NaHCO₃ solution (10 mL) and extracted with DCM (3×20 mL). The organic layers were combined, washed with brine (30 mL), dried over anhydrous Na₂SO₄, filtered and concentrated under reduced pressure. The crude product (200 mg) was purified by preparative HPLC to provide 60.9 mg (34% yield) of 2-(2-((4-(((1,1,1,3,3,3-hexafluoropropan-2-yl)oxy)carbonyl)piperazin-1-yl)methyl)-5-(trifluoromethyl)phenoxy)-2-methylpropanoic acid as a white solid. ¹H NMR (300 MHz, Methanol-d₄) δ 7.54 (d, J=7.8 Hz, 1H), 7.23-7.19 (m, 2H), 6.18-6.10 (m, 1H), 3.80 (s, 2H), 3.63 (s, 4H), 2.71 (s, 4H), 1.60 (s, 6H). LCMS (ESI, m/z): 541 [M+H]⁺.

Example 4: 3-(2-((4-(((1,1,1,3,3,3-Hexafluoropropan-2-yl)oxy)carbonyl)piperazin-1-yl)methyl)-5-(trifluoromethyl)phenoxy)-2,2-dimethylpropanoic Acid

Step 1: Preparation of methyl 2,2-dimethyl-3-((methylsulfonyl)oxy)propanoate

A round-bottom flask was charged with methyl 3-hydroxy-2,2-dimethylpropanoate (0.626 g, 4.74 mmol, 1.00 equiv), TEA (1.44 g, 14.2 mmol, 3.00 equiv), methanesulfonyl chloride (0.810 g, 7.11 mmol, 1.50 equiv), and DCM (10 mL). The reaction mixture was stirred for 3 h at room temperature and quenched with water (20 mL). The resulting solution was extracted with DCM (3×20 mL) and the organic layers were combined, washed with brine (20 mL), dried over anhydrous Na₂SO₄, filtered and concentrated under reduced pressure to provide 1.28 g (crude) of methyl 2,2-dimethyl-3-((methylsulfonyl)oxy)propanoate as a yellow oil. LCMS (ESI, m/z): 211 [M+H]⁺.

Step 2: Preparation of methyl 3-(2-formyl-5-(trifluoromethyl)phenoxy)-2,2-dimethylpropanoate

A round-bottom flask was charged with 2-hydroxy-4-(trifluoromethyl)benzaldehyde (0.300 g, 1.58 mmol, 1.00 equiv), methyl 2,2-dimethyl-3-((methylsulfonyl)oxy)propanoate (0.995 g, 4.73 mmol, 3.00 equiv), cesium carbonate (2.06 g, 6.32 mmol, 4.00 equiv), and DMF (5 mL). The reaction mixture was stirred overnight at 80° C. and quenched with water (20 mL). The resulting solution was extracted with DCM (3×20 mL) and the organic layers were combined, washed with brine (1×20 mL), dried over anhydrous Na₂SO₄, filtered and concentrated under reduced pressure. The residue was chromatographed on a silica gel column to provide 400 mg (83% yield) of methyl 3-(2-formyl-5-(trifluoromethyl)phenoxy)-2,2-dimethylpropanoate as a yellow oil. LCMS (ESI, m/z): 305 [M+H]⁺.

Step 3: Preparation of t-butyl 4-(2-(3-methoxy-2,2-dimethyl-3-oxopropoxy)-4-(trifluoromethyl)benzyl)piperazine-1-carboxylate

A round-bottom flask was charged with methyl 3-(2-formyl-5-(trifluoromethyl)phenoxy)-2,2-dimethylpropanoate (0.400 g, 1.31 mmol, 1.00 equiv), t-butyl piperazine-1-carboxylate (0.367 g, 1.97 mmol, 1.50 equiv), and DCM (10 mL). The mixture was stirred for 2 h at room temperature prior to addition of sodium triacetoxyborohydride (1.11 g, 5.24 mmol, 4.00 equiv). The reaction mixture was stirred overnight at room temperature and quenched with water (20 mL). The resulting solution was extracted with DCM (3×20 mL) and the organic layers were combined, washed with brine (20 mL), dried over anhydrous Na₂SO₄, filtered and concentrated under reduced pressure. The residue was chromatographed on a silica gel column to provide 150 mg (24% yield) of t-butyl 4-(2-(3-methoxy-2,2-dimethyl-3-oxopropoxy)-4-(trifluoromethyl)benzyl)piperazine-1-carboxylate as a yellow oil. LCMS (ESI, m/z): 475 [M+H]⁺.

Step 4: Preparation of 3-(2-((4-(t-butoxycarbonyl)piperazin-1-yl)methyl)-5-(trifluoromethyl)phenoxy)-2,2-dimethylpropanoic Acid

A round-bottom flask was charged with t-butyl 4-(2-(3-methoxy-2,2-dimethyl-3-oxopropoxy)-4-(trifluoromethyl)benzyl)piperazine-1-carboxylate (120 mg, 0.253 mmol, 1.00 equiv), methanol (5 mL), water (1 mL), and KOH (284 mg, 5.06 mmol, 20.00 equiv). The resulting solution was stirred for 3 h at 60° C. and quenched with water (3 mL). The pH value of the solution was adjusted to 6 with HCl (1M). The resulting solution was extracted with DCM (3×20 mL) and the organic layers were combined, washed with brine (1×40 mL), dried over anhydrous Na₂SO₄, filtered and concentrated under reduced pressure to provide 60.0 mg (52% yield) of 3-(2-((4-(tert-butoxycarbonyl)piperazin-1-yl)methyl)-5-(trifluoromethyl)phenoxy)-2,2-dimethylpropanoic acid as a yellow oil. LCMS (ESI, m/z): 461 [M+H]⁺.

Step 5: Preparation of 2,2-dimethyl-3-(2-(piperazin-1-ylmethyl)-5-(trifluoromethyl)phenoxy)propanoic Acid

A round-bottom flask was charged with 3-(2-((4-(tert-butoxycarbonyl)piperazin-1-yl)methyl)-5-(trifluoromethyl)phenoxy)-2,2-dimethylpropanoic acid (60.0 mg, 0.130 mmol, 1.00 equiv), 1,4-dioxane (5 mL), and concentrated HCl (1 mL). The resulting solution was stirred for 2 h at room temperature and concentrated under reduced pressure to provide 70.0 mg (crude) of 2,2-dimethyl-3-(2-(piperazin-1-ylmethyl)-5-(trifluoromethyl)phenoxy)propanoic acid as a yellow oil. LCMS (ESI, m/z): 361 [M+H]⁺.

Step 6: Preparation of 3-(2-((4-(((1,1,1,3,3,3-hexafluoropropan-2-yl)oxy)carbonyl)piperazin-1-yl)methyl)-5-(trifluoromethyl)phenoxy)-2,2-dimethylpropanoic Acid

A round-bottom flask was charged with triphosgene (34.7 mg, 0.117 mmol, 0.70 equiv), DCM (10 mL). The mixture was cooled to 0° C. and 1,1,1,3,3,3-hexafluoropropan-2-ol (56.1 mg, 0.334 mmol, 2.00 equiv) and DIPEA (108 mg, 0.835 mmol, 5.00 equiv) were added at 0° C. The mixture was stirred for 2 h at room temperature prior to addition of 2,2-dimethyl-3-(2-(piperazin-1-ylmethyl)-5-(trifluoromethyl)phenoxy)propanoic acid (60.0 mg, 0.167 mmol, 1.00 equiv). The reaction mixture was stirred overnight at room temperature and quenched with saturated NaHCO₃ solution (20 mL). The resulting solution was extracted with DCM (3×20 mL) and the organic layers were combined, washed with brine (20 mL), dried over anhydrous Na₂SO₄, filtered and concentrated under reduced pressure. The crude product (100 mg) was purified by preparative HPLC to provide 13.7 mg (15% yield) of 3-(2-((4-(((1,1,1,3,3,3-hexafluoropropan-2-yl)oxy)carbonyl)piperazin-1-yl)methyl)-5-(trifluoromethyl)phenoxy)-2,2-dimethylpropanoic acid as a white solid. ¹H NMR (300 MHz, Methanol-d₄) δ 7.53-7.50 (m, 1H), 7.24-7.05 (m, 2H), 6.16-6.08 (m, 1H), 4.05 (s, 2H), 3.65 (s, 2H), 3.57 (s, 4H), 2.55 (s, 4H), 1.32 (s, 6H). LCMS (ESI, m/z): 555 [M+H]⁺.

Example 5: 3-(3-((4-(((1,1,1,3,3,3-Hexafluoropropan-2-yl)oxy)carbonyl)piperazin-1-yl)methyl)-5-(trifluoromethyl)phenoxy)-2,2-dimethylpropanoic Acid

Step 1: Preparation of t-butyl 4-(3-hydroxy-5-(trifluoromethyl)benzyl)piperazine-1-carboxylate

A round-bottom flask was charged with 3-bromo-5-(trifluoromethyl)phenol (400 mg, 1.66 mmol, 1.00 equiv), palladium acetate (18.6 mg, 0.0830 mmol, 0.05 equiv), 2-(dicyclohexylphosphino)-2′,4′,6′-triisopropylbiphenyl (79.2 mg, 0.166 mmol, 0.10 equiv), cesium carbonate (1.62 g, 4.98 mmol, 3.00 equiv), potassium (4-[(tert-butoxy)carbonyl]piperazin-1-ylmethyl)trifluoroboranuide (765 mg, 2.50 mmol, 1.50 equiv), dioxane (10 mL), and water (2 mL) under nitrogen. The reaction mixture was stirred overnight at 80° C. and quenched with water (10 mL). The resulting solution was extracted with DCM (3×20 mL) and the organic layers were combined, washed with brine (1×20 mL), dried over anhydrous Na₂SO₄, filtered and concentrated under reduced pressure. The residue was chromatographed on a silica gel column to provide 580 mg (97% yield) of t-butyl 4-(3-hydroxy-5-(trifluoromethyl)benzyl)piperazine-1-carboxylate as a yellow solid. LCMS (ESI, m/z): 361 [M+H]⁺.

Step 2: Preparation of t-butyl 4-(3-(3-methoxy-2,2-dimethyl-3-oxopropoxy)-5-(trifluoromethyl)benzyl)piperazine-1-carboxylate

A round-bottom flask was charged with t-butyl 4-(3-hydroxy-5-(trifluoromethyl)benzyl)piperazine-1-carboxylate (200 mg, 0.556 mmol, 1.00 equiv), methyl 2,2-dimethyl-3-((methylsulfonyl)oxy)propanoate (Example 4, Step 1; 351 mg, 1.67 mmol, 3.00 equiv), cesium carbonate (725 mg, 2.23 mmol, 4.00 equiv), and DMF (5 mL). The reaction mixture was stirred overnight at 80° C. and quenched with water (30 mL). The resulting solution was extracted with EtOAc (3×20 mL) and the organic layers were combined, washed with brine (30 mL), dried over anhydrous Na₂SO₄, filtered and concentrated under reduced pressure. The residue was chromatographed on a silica gel column to provide 250 mg (95% yield) of t-butyl 4-(3-(3-methoxy-2,2-dimethyl-3-oxopropoxy)-5-(trifluoromethyl)benzyl)piperazine-1-carboxylate as a colorless oil. LCMS (ESI, m/z): 475 [M+H]⁺.

Step 3: Preparation of 3-(3-((4-(t-butoxycarbonyl)piperazin-1-yl)methyl)-5-(trifluoromethyl)phenoxy)-2,2-dimethylpropanoic Acid

A round-bottom flask was charged with t-butyl 4-(3-(3-methoxy-2,2-dimethyl-3-oxopropoxy)-5-(trifluoromethyl)benzyl)piperazine-1-carboxylate (474 mg, 1.00 mmol, 1.00 equiv), potassium hydroxide (560 mg, 9.98 mmol, 10.00 equiv), MeOH (10 mL), and water (2 mL). The reaction mixture was stirred for 3 h at 60° C. The pH value of the solution was adjusted to 6 with HCl (1M). The resulting solution was extracted with DCM (3×20 mL) and the organic layers were combined, washed with brine (1×40 mL), dried over anhydrous Na₂SO₄, filtered and concentrated under reduced pressure to provide 200 mg (43% yield) of 3-(3-((4-(t-butoxycarbonyl)piperazin-1-yl)methyl)-5-(trifluoromethyl)phenoxy)-2,2-dimethylpropanoic acid as a solid. LCMS (ESI, m/z): 461 [M+H]⁺.

Step 4: Preparation of 2,2-dimethyl-3-(3-(piperazin-1-ylmethyl)-5-(trifluoromethyl)phenoxy)propanoic Acid

A round-bottom flask was charged with 3-(3-((4-(t-butoxycarbonyl)piperazin-1-yl)methyl)-5-(trifluoromethyl)phenoxy)-2,2-dimethylpropanoic acid (200 mg, 0.430 mmol, 1.00 equiv), dioxane (10 mL), and concentrated HCl (2 mL). The resulting solution was stirred for 2 h at room temperature and concentrated under reduced pressure to provide 260 mg (crude) of 2,2-dimethyl-3-(3-(piperazin-1-ylmethyl)-5-(trifluoromethyl)phenoxy)propanoic acid as a yellow oil. LCMS (ESI, m/z): 361 [M+H]⁺.

Step 5: Preparation of 3-(3-((4-((1,1,1,3,3,3-hexafluoropropan-2-yl)oxy)carbonyl)piperazin-1-yl)methyl)-5-(trifluoromethyl)phenoxy)-2,2-dimethylpropanoic Acid

A round-bottom flask was charged with triphosgene (90.6 mg, 0.305 mmol, 0.70 equiv), and DCM (10 mL). The mixture was cooled to 0° C. prior to addition of 1,1,1,3,3,3-hexafluoropropan-2-ol (146 mg, 0.872 mmol, 2.00 equiv) and DIPEA (224 mg, 1.74 mmol, 4.00 equiv). The mixture was stirred for 2 h at room temperature before adding 2,2-dimethyl-3-(3-(piperazin-1-ylmethyl)-5-(trifluoromethyl)phenoxy)propanoic acid (157 mg, 0.436 mmol, 1.00 equiv). The reaction was stirred overnight at room temperature and quenched with saturated NaHCO₃ solution (20 mL). The resulting solution was extracted with DCM (3×20 mL) and the organic layers were combined, washed with brine (20 mL), dried over anhydrous Na₂SO₄, filtered and concentrated under reduced pressure. The crude product (100 mg) was purified by preparative HPLC to afford 48.71 mg (20% yield) of 3-(3-((4-(((1,1,1,3,3,3-hexafluoropropan-2-yl)oxy)carbonyl)piperazin-1-yl)methyl)-5-(trifluoromethyl)phenoxy)-2,2-dimethylpropanoic acid as a white solid. ¹H NMR (300 MHz, MeOH-d₄) δ 7.23 (s, 1H), 7.19 (s, 1H), 7.07 (s, 1H), 6.17-6.08 (m, 1H), 4.04 (s, 2H), 3.58 (s, 6H), 2.49 (s, 4H), 1.32 (s, 6H). LCMS (ESI, m/z): 555 [M+H]⁺.

Example 6: 1,1,1,3,3,3-Hexafluoropropan-2-yl 4-(2-((1-(cyclopropanesulfonamido)-2-methyl-1-oxopropan-2-yl)oxy)-4-(trifluoromethyl)benzyl)piperazine-1-carboxylate

Step 1: Preparation of 1,1,1,3,3,3-hexafluoropropan-2-yl 4-(2-((1-chloro-2-methyl-1-oxopropan-2-yl)oxy)-4-(trifluoromethyl)benzyl)piperazine-1-carboxylate

A round-bottom flask was charged with 2-(2-((4-(((1,1,1,3,3,3-hexafluoropropan-2-yl)oxy)carbonyl)piperazin-1-yl)methyl)-5-(trifluoromethyl)phenoxy)-2-methylpropanoic acid (Example 3, Steps 1-3; 200 mg, 0.370 mmol, 1.00 equiv) and DCM (10 mL). Oxalyl dichloride (140 mg, 1.11 mmol, 3.00 equiv) was added at 0° C., and the resulting solution was stirred for 3 h at room temperature. The mixture was concentrated under reduced pressure to provide 206 mg (crude) of 1,1,1,3,3,3-hexafluoropropan-2-yl 4-(2-((1-chloro-2-methyl-1-oxopropan-2-yl)oxy)-4-(trifluoromethyl)benzyl)piperazine-1-carboxylate as a yellow solid.

Step 2: Preparation of 1,1,1,3,3,3-hexafluoropropan-2-yl 4-(2-((1-(cyclopropanesulfonamido)-2-methyl-1-oxopropan-2-yl)oxy)-4-(trifluoromethyl)benzyl)piperazine-1-carboxylate

A round-bottom flask was charged with cyclopropanesulfonamide (130 mg, 1.07 mmol, 3.00 equiv), and THF (8 mL) under nitrogen. The mixture was cooled to −78° C. and lithium bis(trimethylsilyl)amide (1.5 mL, 1.43 mmol, 4.00 equiv, 1M in THF) was added dropwise. The mixture was stirred for 30 min at −78° C. prior to dropwise addition of 1,1,1,3,3,3-hexafluoropropan-2-yl 4-(2-((1-chloro-2-methyl-1-oxopropan-2-yl)oxy)-4-(trifluoromethyl)benzyl)piperazine-1-carboxylate (200 mg, 0.358 mmol, 1.00 equiv) 10 min at −78° C. The resulting solution was stirred overnight at room temperature and quenched with saturated NH₄Cl solution (30 mL). The resulting solution was extracted with DCM (2×50 mL) and the organic layers were combined, washed with brine (2×30 mL), dried over anhydrous Na₂SO₄, filtered and concentrated under reduced pressure. The crude product (200 mg) was purified by preparative HPLC to afford 62.6 mg (27% yield) of 1,1,1,3,3,3-hexafluoropropan-2-yl 4-(2-((1-(cyclopropanesulfonamido)-2-methyl-1-oxopropan-2-yl)oxy)-4-(trifluoromethyl)benzyl)piperazine-1-carboxylate as a white solid. ¹H NMR (300 MHz, Chloroform-d) δ 7.41 (d, J=7.8 Hz, 1H), 7.34 (d, J=8.4 Hz, 1H), 7.18 (s, 1H), 5.80-5.72 (m, 1H), 3.63-3.60 (m, 6H), 2.93-2.86 (m, 1H), 2.54-2.53 (m, 4H), 1.73 (s, 6H), 1.32-1.26 (m, 2H), 1.13-1.07 (m, 2H). LCMS (ESI, m/z): 644 [M+H]⁺.

Example 7: 2-(5-Cyclopropyl-2-((4-(((1,1,1,3,3,3-hexafluoropropan-2-yl)oxy)carbonyl)piperazin-1-yl)methyl)phenoxy)-2-methylpropanoic Acid

Step 1: Preparation of t-butyl 2-(5-bromo-2-formylphenoxy)-2-methylpropanoate

A round-bottom flask was charged with 4-bromo-2-hydroxybenzaldehyde (6.00 g, 29.9 mmol, 1.00 equiv), t-butyl 2-bromo-2-methylpropanoate (20.0 g, 89.6 mmol, 3.00 equiv), potassium carbonate (16.6 g, 120 mmol, 4.00 equiv), and DMA (150 mL). The reaction mixture was stirred overnight at 60° C. and quenched with water (80 mL). The resulting solution was extracted with EtOAc (3×150 mL) and the organic layers were combined, washed with brine (2×80 mL), dried over anhydrous Na₂SO₄, filtered and concentrated under reduced pressure. The residue was chromatographed on a silica gel column to provide 9.80 g (96% yield) of t-butyl 2-(5-bromo-2-formylphenoxy)-2-methylpropanoate as a colorless oil. LCMS (ESI, m/z): 343 [M+H]⁺.

Step 2: Preparation of t-butyl 2-(5-cyclopropyl-2-formylphenoxy)-2-methylpropanoate

A round-bottom flask was charged with t-butyl 2-(5-bromo-2-formylphenoxy)-2-methylpropanoate (500 mg, 1.46 mmol, 1.00 equiv), cyclopropylboronic acid (163 mg, 1.90 mmol, 1.30 equiv), tetrakis(triphenylphosphine)palladium (169 mg, 0.146 mmol, 0.10 equiv), K₂CO₃ (403 mg, 2.92 mmol, 2.00 equiv), 1,4-dioxane (10 mL), and water (2 mL) under nitrogen. The reaction mixture was stirred overnight at 80° C. and quenched with water (20 mL). The resulting solution was extracted with DCM (3×30 mL) and the organic layers were combined, washed with brine (2×20 mL), dried over anhydrous Na₂SO₄, filtered and concentrated under reduced pressure. The residue was chromatographed on a silica gel column to provide 259 mg (58% yield) of t-butyl 2-(5-cyclopropyl-2-formylphenoxy)-2-methylpropanoate as a yellow oil. LCMS (ESI, m/z): 305 [M+H]⁺.

Step 3: Preparation of 1,1,1,3,3,3-hexafluoropropan-2-yl 4-(2-((1-(t-butoxy)-2-methyl-1-oxopropan-2-yl)oxy)-4-cyclopropylbenzyl)piperazine-1-carboxylate

A round-bottom flask was charged with t-butyl 2-(5-cyclopropyl-2-formylphenoxy)-2-methylpropanoate (259 mg, 0.852 mmol, 1.00 equiv), 1,1,1,3,3,3-hexafluoropropan-2-yl piperazine-1-carboxylate (286 mg, 1.02 mmol, 1.20 equiv), and DCE (10 mL). The mixture was stirred for 1 h at room temperature prior to addition of sodium triacetoxyborohydride (542 mg, 2.56 mmol, 3.00 equiv). The reaction mixture was stirred overnight at room temperature and quenched with water (20 mL). The resulting solution was extracted with DCM (3×30 mL) and the organic layers were combined, washed with brine (2×20 mL), dried over anhydrous Na₂SO₄, filtered and concentrated under reduced pressure. The residue was chromatographed on a silica gel column to provide 400 mg (83% yield) of 1,1,1,3,3,3-hexafluoropropan-2-yl 4-(2-((1-(t-butoxy)-2-methyl-1-oxopropan-2-yl)oxy)-4-cyclopropylbenzyl)piperazine-1-carboxylate as a colorless oil. LCMS (ESI, m/z): 569 [M+H]⁺.

Step 4: Preparation of 2-(5-cyclopropyl-2-((4-(((1,1,1,3,3,3-hexafluoropropan-2-yl)oxy)carbonyl)piperazin-1-yl)methyl)phenoxy)-2-methylpropanoic Acid

A round-bottom flask was charged with 1,1,1,3,3,3-hexafluoropropan-2-yl 4-(2-((1-(t-butoxy)-2-methyl-1-oxopropan-2-yl)oxy)-4-cyclopropylbenzyl)piperazine-1-carboxylate (200 mg, 0.352 mmol, 1.00 equiv), TFA (5 mL), and DCM (8 mL). The resulting solution was stirred overnight at room temperature and concentrated under reduced pressure. The crude product was dissolved in DCM (10 mL), and the pH value of the solution was adjusted to 8 with saturated NaHCO₃ solution. The mixture was extracted with DCM (3×15 mL) and the organic layers were combined, washed with brine (2×10 mL), dried over anhydrous Na₂SO₄, filtered and concentrated under reduced pressure. The crude product (200 mg) was purified by preparative HPLC to afford 71.3 mg (40% yield) of 2-(5-cyclopropyl-2-((4-(((1,1,1,3,3,3-hexafluoropropan-2-yl)oxy)carbonyl)piperazin-1-yl)methyl)phenoxy)-2-methylpropanoic acid as a white solid. ¹H NMR (400 MHz, Methanol-d₄) δ 7.19 (d, J=7.6 Hz, 1H), 6.88 (s, 1H), 6.74 (d, J=8.0 Hz, 1H), 6.26-6.19 (m, 1H), 4.13 (s, 2H), 3.85 (s, 4H), 3.29-3.18 (m, 4H), 1.95-1.88 (m, 1H), 1.68 (s, 6H), 1.02-0.98 (m, 2H), 0.71-0.67 (m, 2H). LCMS (ESI, m/z): 513 [M+H]⁺.

Example 8: 2-(5-(3-Fluorooxetan-3-yl)-2-((4-(((1,1,1,3,3,3-hexafluoropropan-2-yl)oxy)carbonyl)piperazin-1-yl)methyl)phenoxy)-2-methylpropanoic Acid

Step 1: Preparation of t-butyl 4-(4-bromo-2-hydroxybenzyl)piperazine-1-carboxylate

A round-bottom flask was charged with 4-bromo-2-hydroxybenzaldehyde (5 g, 25.0 mmol, 1.00 equiv), t-butyl piperazine-1-carboxylate (4.65 g, 25.0 mmol, 1.00 equiv), and DCE (50 mL). The reaction mixture was stirred for 1 h at room temperature prior to addition of sodium triacetoxyborohydride (10.6 g, 50.0 mmol, 2.00 equiv.) at 0° C. The reaction mixture was stirred overnight at room temperature before quenching with water (30 mL). The resulting solution was extracted with DCM (3×100 mL) and the organic layers were combined, washed with brine (2×50 mL), dried over anhydrous Na₂SO₄, filtered and concentrated under reduced pressure. The residue was chromatographed on a silica gel column to provide 8.10 g (88% yield) of t-butyl 4-(4-bromo-2-hydroxybenzyl)piperazine-1-carboxylate as a white solid. LCMS (ESI, m/z): 371 [M+H]⁺.

Step 2: Preparation of t-butyl 4-(4-bromo-2-((t-butyldimethylsilyl)oxy)benzyl)piperazine-1-carboxylate

A round-bottom flask was charged with t-butyl 4-(4-bromo-2-hydroxybenzyl)piperazine-1-carboxylate (8.10 g 21.9 mmol, 1.00 equiv), TBDMSCl (4.93 g, 32.8 mmol, 1.50 equiv), 1H-imidazole (2.98 g, 43.8 mmol, 2.00 equiv) and DMF (50 mL) at 0° C. The reaction mixture was stirred overnight at room temperature and quenched with water (30 mL). The resulting solution was diluted with EtOAc (200 mL), washed with water (3×100 mL) and the organic layers were combined, washed with brine (2×50 mL), dried over anhydrous sodium sulfate, filtered and concentrated under reduced pressure. The residue was chromatographed on a silica gel column to provide 9.00 g (85% yield) of t-butyl 4-(4-bromo-2-((t-butyldimethylsilyl)oxy)benzyl)piperazine-1-carboxylate as a yellow oil. LCMS (ESI, m/z): 485 [M+H]⁺.

Step 3: Preparation of t-butyl 4-(2-((t-butyldimethylsilyl)oxy)-4-(3-hydroxyoxetan-3-yl)benzyl)piperazine-1-carboxylate

A round-bottom flask was charged with t-butyl 4-(4-bromo-2-((t-butyldimethylsilyl)oxy)benzyl)piperazine-1-carboxylate (3.50 g, 7.23 mmol, 1.00 equiv), oxetan-3-one (520 mg, 7.23 mmol, 1 equiv), and dry THF (100 mL). n-Butyl lithium (2.5 M, 3.47 mL, 8.68 mmol, 1.20 equiv.) was added at −78° C., and the reaction mixture was stirred for 2 h at −78° C. before quenching with water (20 mL). The resulting solution was extracted with EtOAc (3×100 mL) and the organic layers were combined, washed with brine (2×50 mL), dried over anhydrous Na₂SO₄, filtered and concentrated under reduced pressure. The residue was chromatographed on a silica gel column to provide 1.90 g (55% yield) of t-butyl 4-(2-((t-butyldimethylsilyl)oxy)-4-(3-hydroxyoxetan-3-yl)benzyl)piperazine-1-carboxylate as a yellow oil. LCMS (ESI, m/z): 479 [M+H]⁺.

Step 4: Preparation of t-butyl 4-(2-hydroxy-4-(3-hydroxyoxetan-3-yl)benzyl)piperazine-1-carboxylate

A round-bottom flask was charged with t-butyl 4-(2-((t-butyldimethylsilyl)oxy)-4-(3-hydroxyoxetan-3-yl)benzyl)piperazine-1-carboxylate (1.1 g, 2.30 mmol, 1.00 equiv), TBAF (1 M, 6.9 mL, 6.9 mmol, 3.00 equiv), and THF (20 mL). The reaction mixture was stirred overnight at room temperature before quenching with water (30 mL). The resulting solution was extracted with EtOAc (3×100 mL) and the organic layers were combined, washed with brine (2×30 mL), dried over anhydrous Na₂SO₄, filtered and concentrated under reduced pressure. The residue was chromatographed on a silica gel column to provide 800 mg (90% yield) of t-butyl 4-(2-hydroxy-4-(3-hydroxyoxetan-3-yl)benzyl)piperazine-1-carboxylate as a yellow oil. LCMS (ESI, m/z): 365 [M+H]⁺.

Step 5: Preparation of t-butyl 4-(2-((1-(t-butoxy)-2-methyl-1-oxopropan-2-yl)oxy)-4-(3-hydroxyoxetan-3-yl)benzyl)piperazine-1-carboxylate

A round-bottom flask was charged with t-butyl 4-(2-hydroxy-4-(3-hydroxyoxetan-3-yl)benzyl)piperazine-1-carboxylate (800 mg, 2.20 mmol, 1.00 equiv), t-butyl 2-bromo-2-methylpropanoate (968 mg, 4.40 mmol, 2.00 equiv), K₂CO₃ (911 mg, 6.60 mmol, 3.00 equiv), and DMA (20 mL). The resulting solution was stirred overnight at 60° C. and cooled to room temperature, diluted with EtOAc (100 mL), and washed with water (3×50 mL). The organic layers were combined, washed with brine (2×30 mL), dried over anhydrous Na₂SO₄, filtered and concentrated under reduced pressure. The residue was chromatographed on a silica gel column to provide 550 mg (55% yield) of t-butyl 4-(2-((1-(t-butoxy)-2-methyl-1-oxopropan-2-yl)oxy)-4-(3-hydroxyoxetan-3-yl)benzyl)piperazine-1-carboxylate as a yellow oil. LCMS (ESI, m/z): 507 [M+H]⁺.

Step 6: Preparation of t-butyl 4-(2-((1-(t-butoxy)-2-methyl-1-oxopropan-2-yl)oxy)-4-(3-fluorooxetan-3-yl)benzyl)piperazine-1-carboxylate

A round-bottom flask was charged with t-butyl 4-(2-((1-(t-butoxy)-2-methyl-1-oxopropan-2-yl)oxy)-4-(3-hydroxyoxetan-3-yl)benzyl)piperazine-1-carboxylate (550 mg, 1.09 mmol, 1.00 equiv.), DAST (1.5 mL) and DCM (10 mL). The reaction mixture was stirred for 1 h at room temperature before quenching with water (20 mL). The resulting solution was extracted with EtOAc (3×100 mL) and the organic layers were combined, washed with brine (2×30 mL), dried over anhydrous Na₂SO₄, filtered and concentrated under reduced pressure. The residue was chromatographed on a silica gel column to provide 800 mg (90% yield) of t-butyl 4-(2-((1-(t-butoxy)-2-methyl-1-oxopropan-2-yl)oxy)-4-(3-fluorooxetan-3-yl)benzyl)piperazine-1-carboxylate as a yellow oil. LCMS (ESI, m/z): 509 [M+H]⁺.

Step 7: Preparation of 2-(5-(3-fluorooxetan-3-yl)-2-(piperazin-1-ylmethyl)phenoxy)-2-methylpropanoic Acid

A round-bottom flask was charged with t-butyl 4-(2-((1-(t-butoxy)-2-methyl-1-oxopropan-2-yl)oxy)-4-(3-fluorooxetan-3-yl)benzyl)piperazine-1-carboxylate (400 mg, 0.78 mmol, 1.00 equiv), TFA (3 mL), and DCM (3 mL). The reaction mixture was stirred for 0.5 h at room temperature and then concentrated under reduced pressure. The crude product was dissolved in DCM (50 mL). The pH value of the solution was adjusted to 8 with saturated Na₂CO₃ solution. The mixture was extracted with DCM (3×50 mL) and the organic layers were combined, washed with brine (2×30 mL), dried over anhydrous Na₂SO₄, filtered and concentrated under reduced pressure to provide 0.300 g (90% yield) of 2-(5-(3-fluorooxetan-3-yl)-2-(piperazin-1-ylmethyl)phenoxy)-2-methylpropanoic acid as a yellow oil. LCMS (ESI, m/z): 353 [M+H]⁺.

Step 8: Preparation of 2-(5-(3-fluorooxetan-3-yl)-2-((4-(((1,1,1,3,3,3-hexafluoropropan-2-yl)oxy)carbonyl)piperazin-1-yl)methyl)phenoxy)-2-methylpropanoic Acid

A round-bottom flask was charged with 2-(5-(3-fluorooxetan-3-yl)-2-(piperazin-1-ylmethyl)phenoxy)-2-methylpropanoic acid (100 mg, 0.28 mmol, 1.00 equiv), triphosgene (34 mg, 0.11 mmol, 0.40 equiv), DIPEA (144 mg, 1.12 mmol, 4.00 equiv) and DCM (10 mL). The resulting solution was stirred for 1.5 h at 0° C. and concentrated under reduced pressure. The crude product was dissolved in DCM (10 mL), followed by addition of 1,1,1,3,3,3-hexafluoropropan-2-ol (94 mg, 0.56 mmol, 2.00 equiv) and DIPEA (144 mg, 1.12 mmol, 4.00 equiv). The reaction mixture was stirred for 2 h at room temperature and concentrated under reduced pressure. The crude product (120 mg) was purified by preparative HPLC to afford 4.5 mg (2.8% yield) of 2-(5-(3-fluorooxetan-3-yl)-2-((4-(((1,1,1,3,3,3-hexafluoropropan-2-yl)oxy)carbonyl)piperazin-1-yl)methyl)phenoxy)-2-methylpropanoic acid as a white solid. ¹H NMR (400 MHz, Methanol-d₄) 7.46-7.44 (s, 1H), 7.26-7.21 (m, 2H), 6.23-6.17 (m, 1H), 5.07-5.00 (m, 2H), 4.94-4.87 (m, 2H), 4.07-4.01 (s, 2H), 3.87-3.76 (s, 4H), 3.11-2.96 (s, 4H), 1.66 (s, 6H). LCMS (ESI, m/z): 547 [M+H]⁺.

Example 9: 2-(3-Cyano-5-((4-(((1,1,1,3,3,3-hexafluoropropan-2-yl)oxy)carbonyl)piperazin-1-yl)methyl)phenoxy)-2-methylpropanoic Acid

Step 1: Preparation of t-butyl 2-(3-bromo-5-formylphenoxy)-2-methylpropanoate

A round-bottom flask was charged with 3-bromo-5-hydroxybenzaldehyde (4.00 g, 20.0 mmol, 1.00 equiv), t-butyl 2-bromo-2-methylpropanoate (13.3 g, 60.0 mmol, 3.00 equiv), potassium carbonate (11.0 g 80.0 mmol, 4.00 equiv), and DMA (40 mL) under nitrogen. The reaction mixture was stirred overnight at 60° C. and quenched with water (50 mL). The resulting solution was extracted with EtOAc (3×80 mL) and the organic layers were combined, washed with brine (1×50 mL), dried over anhydrous Na₂SO₄, filtered and concentrated under reduced pressure. The residue was chromatographed on a silica gel column to provide 6.50 g (95% yield) of t-butyl 2-(3-bromo-5-formylphenoxy)-2-methylpropanoate as a yellow oil. LCMS (ESI, m/z): 343 [M+H]⁺.

Step 2: Preparation of t-butyl 2-(3-cyano-5-formylphenoxy)-2-methylpropanoate

A round-bottom flask was charged with t-butyl 2-(3-bromo-5-formylphenoxy)-2-methylpropanoate (342 mg, 1.00 mmol, 1.00 equiv), zinc cyanide (176 mg, 1.50 mmol, 1.50 equiv), tetrakis(triphenylphosphine)palladium (116 mg, 0.100 mmol, 0.10 equiv), and DMF (10 mL) under nitrogen. The resulting solution was stirred overnight at 120° C. and quenched with water (20 mL). The resulting mixture was extracted with EtOAc (3×40 mL) and the organic layers were combined, washed with brine (2×20 mL), dried over anhydrous Na₂SO₄, filtered and concentrated under reduced pressure. The residue was chromatographed on a silica gel column to provide 170 mg (59% yield) of t-butyl 2-(3-cyano-5-formylphenoxy)-2-methylpropanoate as a colorless oil. LCMS (ESI, m/z): 290 [M+H]⁺.

Step 3: Preparation of 1,1,1,3,3,3-hexafluoropropan-2-yl 4-(3-((1-(t-butoxy)-2-methyl-1-oxopropan-2-yl)oxy)-5-cyanobenzyl)piperazine-1-carboxylate

A round-bottom flask was charged with t-butyl 2-(3-cyano-5-formylphenoxy)-2-methylpropanoate (145 mg, 0.500 mmol, 1.00 equiv), 1,1,1,3,3,3-hexafluoropropan-2-yl piperazine-1-carboxylate (168 mg, 0.600 mmol, 1.20 equiv), and DCM (10 mL). The mixture was stirred for 2 h at room temperature prior to addition of sodium triacetoxyborohydride (424 mg, 2.00 mmol, 4.00 equiv). The reaction mixture was stirred overnight at room temperature and quenched with water (20 mL). The resulting solution was extracted with DCM (3×40 mL) and the organic layers were combined, washed with brine (30 mL), dried over anhydrous Na₂SO₄, filtered and concentrated under reduced pressure. The residue was chromatographed on a silica gel column to provide 130 mg (47% yield) of 1,1,1,3,3,3-hexafluoropropan-2-yl 4-(3-((1-(t-butoxy)-2-methyl-1-oxopropan-2-yl)oxy)-5-cyanobenzyl)piperazine-1-carboxylate as a colorless oil. LCMS (ESI, m/z): 554 [M+H]⁺.

Step 4: Preparation of 2-(3-cyano-5-((4-(((1,1,1,3,3,3-hexafluoropropan-2-yl)oxy)carbonyl)piperazin-1-yl)methyl)phenoxy)-2-methylpropanoic Acid

A round-bottom flask was charged with 1,1,1,3,3,3-hexafluoropropan-2-yl 4-(3-((1-(t-butoxy)-2-methyl-1-oxopropan-2-yl)oxy)-5-cyanobenzyl)piperazine-1-carboxylate (130 mg, 0.230 mmol, 1.00 equiv), TFA (3 mL), and DCM (10 mL). The resulting solution was stirred overnight at room temperature and concentrated under reduced pressure. The crude product was dissolved in DCM (10 mL). The pH value of the solution was adjusted to 8 with saturated NaHCO₃ solution. The mixture was extracted with DCM (3×30 mL) and the organic layers were combined, washed with brine (2×10 mL), dried over anhydrous Na₂SO₄, filtered and concentrated under reduced pressure. The crude product (250 mg) was purified by preparative HPLC to provide 57.7 mg (49% yield) of 2-(3-cyano-5-((4-(((1,1,1,3,3,3-hexafluoropropan-2-yl)oxy)carbonyl)piperazin-1-yl)methyl)phenoxy)-2-methylpropanoic acid as a colorless oil. ¹H NMR (400 MHz, Methanol-d₄) δ 7.29 (s, 1H), 7.24 (s, 1H), 7.11 (s, 1H), 6.18-6.12 (m, 1H), 3.62-3.58 (m, 6H), 2.51 (s, 4H), 1.60 (s, 6H). LCMS (ESI, m/z): 498 [M+H]⁺.

Example 10: 2-(2-((4-(((1,1,1,3,3,3-Hexafluoropropan-2-yl)oxy)carbonyl)piperazin-1-yl)methyl)-5-(oxazol-2-yl)phenoxy)-2-methylpropanoic Acid

Step 1: Preparation of t-butyl 2-(5-bromo-2-formylphenoxy)-2-methylpropanoate

A round-bottom flask was charged with 4-bromo-2-hydroxybenzaldehyde (6.00 g, 29.9 mmol, 1.00 equiv), t-butyl 2-bromo-2-methylpropanoate (20.0 g, 89.6 mmol, 3.00 equiv), potassium carbonate (16.6 g, 120 mmol, 4.00 equiv), and DMA (150 mL). The reaction mixture was stirred overnight at 60° C. and quenched with water (80 mL). The resulting solution was extracted with EtOAc (3×150 mL) and the organic layers were combined, washed with brine (2×80 mL), dried over anhydrous Na₂SO₄, filtered and concentrated under reduced pressure. The residue was chromatographed on a silica gel column to provide 9.80 g (96% yield) of t-butyl 2-(5-bromo-2-formylphenoxy)-2-methylpropanoate as a colorless oil. LCMS (ESI, m/z): 343 [M+H]⁺.

Step 2: Preparation of t-butyl 2-(2-formyl-5-(oxazol-2-yl)phenoxy)-2-methylpropanoate

A round-bottom flask was charged with t-butyl 2-(5-bromo-2-formylphenoxy)-2-methylpropanoate (500 mg, 1.46 mmol, 1.00 equiv), 2-(tributylstannyl)-1,3-oxazole (628 mg, 1.75 mmol, 1.20 equiv), tetrakis(triphenylphosphine)palladium (169 mg, 0.146 mmol, 0.10 equiv), and toluene (10 mL) under nitrogen. The reaction mixture was stirred overnight at 100° C. and quenched with water (30 mL). The resulting solution was extracted with DCM (3×50 mL) and the organic layers were combined, washed with brine (2×20 mL), dried over anhydrous Na₂SO₄, filtered and concentrated under reduced pressure. The residue was chromatographed on a silica gel column to provide 340 mg (70% yield) of t-butyl 2-(2-formyl-5-(oxazol-2-yl)phenoxy)-2-methylpropanoate as a yellow oil. LCMS (ESI, m/z): 332 [M+H]⁺.

Step 3: Preparation of 1,1,1,3,3,3-hexafluoropropan-2-yl 4-(2-((1-(tert-butoxy)-2-methyl-1-oxopropan-2-yl)oxy)-4-(oxazol-2-yl)benzyl)piperazine-1-carboxylate

A round-bottom flask was charged with t-butyl 2-(2-formyl-5-(oxazol-2-yl)phenoxy)-2-methylpropanoate as a yellow oil (340 mg, 1.03 mmol, 1.00 equiv), 1,1,1,3,3,3-hexafluoropropan-2-yl piperazine-1-carboxylate (345 mg, 1.23 mmol, 1.20 equiv), and DCE (10 mL). The mixture was stirred for 1 h at room temperature prior to addition of sodium triacetoxyborohydride (655 mg, 3.09 mmol, 3.00 equiv). The reaction mixture was stirred overnight at room temperature and quenched with water (20 mL). The resulting mixture was extracted with DCM (3×30 mL) and the organic layers were combined, washed with brine (2×20 mL), dried over anhydrous Na₂SO₄, filtered and concentrated under reduced pressure. The residue was chromatographed on a silica gel column to provide 400 mg (65% yield) of 1,1,1,3,3,3-hexafluoropropan-2-yl 4-(2-((1-(t-butoxy)-2-methyl-1-oxopropan-2-yl)oxy)-4-(oxazol-2-yl)benzyl)piperazine-1-carboxylate as a colorless oil. LCMS (ESI, m/z): 596 [M+H]⁺.

Step 4: Preparation of 2-(2-((4-(((1,1,1,3,3,3-hexafluoropropan-2-yl)oxy)carbonyl)piperazin-1-yl)methyl)-5-(oxazol-2-yl)phenoxy)-2-methylpropanoic Acid

A round-bottom flask was charged with 1,1,1,3,3,3-hexafluoropropan-2-yl 4-(2-((1-(t-butoxy)-2-methyl-1-oxopropan-2-yl)oxy)-4-(oxazol-2-yl)benzyl)piperazine-1-carboxylate (150 mg, 0.252 mmol, 1.00 equiv), TFA (5 mL), and DCM (5 mL). The resulting solution was stirred overnight at room temperature and concentrated under reduced pressure. The crude product was dissolved in DCM (10 mL), and the pH value of the solution was adjusted to 8 with saturated NaHCO₃ solution. The mixture was extracted with DCM (3×20 mL) and the organic layers were combined, washed with brine (2×10 mL), dried over anhydrous Na₂SO₄, filtered and concentrated under reduced pressure. The crude product (200 mg) was purified by preparative HPLC to provide 72.8 mg (54% yield) of 2-(2-((4-(((1,1,1,3,3,3-hexafluoropropan-2-yl)oxy)carbonyl)piperazin-1-yl)methyl)-5-(oxazol-2-yl)phenoxy)-2-methylpropanoic acid as a white solid. ¹H NMR (400 MHz, Methanol-d₄) δ 8.00 (s, 1H), 7.74 (s, 1H), 7.68-7.66 (m, 1H), 7.51-7.49 (m, 1H), 7.31 (s, 1H), 6.23-6.17 (m, 1H), 4.04 (s, 2H), 3.77 (s, 4H), 2.98 (s, 4H), 1.71 (s, 6H). LCMS (ESI, m/z): 540 [M+H]+.

Example 11: 2-(2-Fluoro-6-((4-(((1,1,1,3,3,3-hexafluoropropan-2-yl)oxy)carbonyl)piperazin-1-yl)methyl)phenoxy)acetic Acid

Step 1: Preparation of t-butyl 2-(2-fluoro-6-formylphenoxy)acetate

To a solution of 3-fluoro-2-hydroxybenzaldehyde (1.00 g, 7.14 mmol, 1.00 equiv), and t-butyl 2-bromoacetate (1.39 g, 7.14 mmol, 1.00 equiv) in DMF (15 mL) was added K₂CO₃ (2.00 g, 14.2 mmol, 2.00 equiv) portion wise. The reaction mixture was stirred at 60° C. for 2 hours before diluting with EtOAc (100 mL), and washing with H₂O (3×20 mL). The organic phase was dried over anhydrous Na₂SO₄, filtrated, and concentrated under vacuum to give t-butyl 2-(2-fluoro-6-formylphenoxy)acetate (1.76 g, 96%) as a white solid. ¹H NMR (400 MHz, Chloroform-d) 7.29 (s, 1H), 7.10-7.06 (m, 1H), 7.04-6.97 (m, 2H), 4.62 (s, 2H), 3.73 (s, 2H), 3.15-3.07 (m, 4H), 2.75-2.70 (m, 4H), 1.51 (s, 9H).

Step 2: Preparation of t-butyl 4-(2-(2-(t-butoxy)-2-oxoethoxy)-3-fluorobenzyl)piperazine-1-carboxylate

To a solution of t-butyl 2-(2-fluoro-6-formylphenoxy)acetate (1.00 g, 3.93 mmol, 1.00 equiv), and t-butyl piperazine-1-carboxylate (0.732. mg, 3.93 mmol, 1.00 equiv) in DCE (20 mL) was added sodium triacetoxy borohydride (1.25 g, 5.90 mmol, 1.50 equiv). The reaction mixture was stirred for 12 hours at room temperature. The resulting solution was diluted with DCM (100 mL), washed with water (3×20 mL), dried over anhydrous Na₂SO₄, filtrated and concentrated under vacuum. The crude oil was purified by reverse flash chromatography to provide t-butyl 4-(2-(2-(t-butoxy)-2-oxoethoxy)-3-fluorobenzyl)piperazine-1-carboxylate (1.27 g, 76%) as a yellow oil. LCMS (ESI, m/z): 425 [M+H]⁺.

Step 3: Preparation of t-butyl 2-(2-fluoro-6-(piperazin-1-ylmethyl)phenoxy)acetate

To a solution of t-butyl 4-(2-(2-(t-butoxy)-2-oxoethoxy)-3-fluorobenzyl)piperazine-1-carboxylate (1.27 g, 2.99 mmol, 1.00 equiv) in DCM (2 mL) was added TFA (2 mL). The reaction mixture was stirred at room temperature for 1 hour. The resulting solution was neutralized with Na₂CO₃ solution to a pH of 7-8, diluted with DCM (100 mL), washed with water (3×20 mL), dried over anhydrous Na₂SO₄, filtrated and concentrated under vacuum to afford t-butyl 2-(2-fluoro-6-(piperazin-1-ylmethyl)phenoxy)acetate (0.92 g, 62%) as a yellow oil. LCMS (ESI, m/z): 325 [M+H]⁺.

Step 4: Preparation of 1,1,1,3,3,3-hexafluoropropan-2-yl 4-(2-(2-(t-butoxy)-2-oxoethoxy)-3-fluorobenzyl)piperazine-1-carboxylate

To a solution of triphosgene (95.1 mg, 0.32 mmol, 0.40 equiv) and t-butyl 2-(2-fluoro-6-(piperazin-1-ylmethyl)phenoxy)acetate (260 mg, 0.80 mmol, 1 equiv) in DCM (3 mL) was added DIPEA (310 mg, 2.40 mmol, 3.00 equiv) at 0° C. The reaction mixture was stirred for 2 hours followed by addition of a solution of 1,1,1,3,3,3-hexafluoropropan-2-ol (134 mg, 0.80 mmol, 1.00 equiv) and DBU (486 mg, 3.20 mmol, 4.00 equiv) in THF (2 mL) at 0° C. The resulting mixture was stirred at room temperature for 1 hour prior to being diluted with DCM (50 mL), washed with water (3×10 mL), dried over anhydrous Na₂SO₄, filtrated and concentrated under vacuum to give 1,1,1,3,3,3-hexafluoropropan-2-yl 4-(2-(2-(t-butoxy)-2-oxoethoxy)-3-fluorobenzyl)piperazine-1-carboxylate (360 mg, 86%) as a yellow oil. LCMS (ESI, m/z): 519 [M+H]⁺.

Step 5: Preparation of 2-(2-fluoro-6-((4-(((1,1,1,3,3,3-hexafluoropropan-2-yl)oxy)carbonyl)piperazin-1-yl)methyl)phenoxy)acetic Acid

1,1,1,3,3,3-Hexafluoropropan-2-yl 4-(2-(2-(t-butoxy)-2-oxoethoxy)-3-fluorobenzyl)piperazine-1-carboxylate (170 mg, 0.330 mmol, 1.00 equiv) was combined with TFA (8 mL) in a round-bottom flask, and the mixture was stirred for 1 hour at room temperature. The reaction mixture was concentrated under vacuum and purified by preparative HPLC to afford 2-(2-fluoro-6-((4-(((1,1,1,3,3,3-hexafluoropropan-2-yl)oxy)carbonyl)piperazin-1-yl)methyl)phenoxy)acetic acid (75.4 mg, 49%) as a white solid. ¹H NMR (400 MHz, Methanol-d₄) 7.32-7.27 (m, 1H), 7.20 (d, J=7.6 Hz, 1H), 7.14-7.09 (m, 1H), 6.27-6.21 (m, 1H), 4.79 (s, 2H), 4.24 (s, 2H), 3.76-4.00 (m, 4H), 3.32-3.15 (m, 4H). LCMS (ESI, m/z): 463 [M+H]⁺.

Example 12: 1,1,1,3,3,3-Hexafluoropropan-2-yl 4-(2-((1-(1-((ethoxycarbonyl)oxy)ethoxy)-2-methyl-1-oxopropan-2-yl)oxy)-4-(trifluoromethyl)benzyl)piperazine-1-carboxylate

Step 1: Preparation of 1,1,1,3,3,3-hexafluoropropan-2-yl 4-(2-((1-(1-((ethoxycarbonyl)oxy)ethoxy)-2-methyl-1-oxopropan-2-yl)oxy)-4-(trifluoromethyl)benzyl)piperazine-1-carboxylate

2-(2-((4-(((1,1,1,3,3,3-Hexafluoropropan-2-yl)oxy)carbonyl)piperazin-1-yl)methyl)-5-(trifluoromethyl)phenoxy)-2-methylpropanoic acid (1.0 g, 1.85 mmol, as prepared in Example 3) was dissolved in IPA (25 mL) and heated to 60° C. Aqueous sodium hydroxide (2.65M, 1.85 mmol, 0.698 mL) was added in a single portion. The mixture was stirred for 0.5 h and then gradually cooled to 40° C., producing a turbid mixture. The mixture stirred at 40° C. for 1 h and water (0.7 mL) was added portion-wise. The suspension was stirred at 40° C. for 16 h and then cooled to room temperature and stirred 24 h at room temperature. The solid was isolated by vacuum filtration to afford 578 mg (56%) sodium 2-(2-((4-(((1,1,1,3,3,3-hexafluoropropan-2-yl)oxy)carbonyl)piperazin-1-yl)methyl)-5-(trifluoromethyl)phenoxy)-2-methylpropanoate as a white solid. Separately, a mixture of 1-chloroethyl ethyl carbonate (12 mg, 0.08 mmol, 1.1 equiv) and KI (25 mg, 0.14 mmol, 2.0 equiv) in MeCN (2 mL) was stirred overnight at room temperature prior to addition of a mixture of sodium 2-(2-((4-(((1,1,1,3,3,3-hexafluoropropan-2-yl)oxy)carbonyl)piperazin-1-yl)methyl)-5-(trifluoromethyl)phenoxy)-2-methylpropanoate (40 mg, 0.07 mmol, 1.0 equiv) and DIPEA (19 mg, 0.14 mmol, 2.0 equiv) in EtOAc (2 mL). The resulting mixture was stirred overnight at 60° C. The reaction was cooled to room temperature, quenched with water (1 mL), and concentrated under reduced pressure. The residue was purified by preparative HPLC to provide 1,1,1,3,3,3-hexafluoropropan-2-yl 4-(2-((1-(1-((ethoxycarbonyl)oxy)ethoxy)-2-methyl-1-oxopropan-2-yl)oxy)-4-(trifluoromethyl)benzyl)piperazine-1-carboxylate (13 mg, 26%) as a colorless oil. ¹H NMR (400 MHz, Chloroform-d) δ 7.66-7.51 (m, 1H), 7.46-7.31 (m, 1H), 7.28-7.24 (m, 1H), 7.02-6.95 (m, 1H), 6.87-6.79 (m, 1H), 5.81-5.69 (m, 1H), 4.33-4.15 (m, 2H), 3.82-3.52 (m, 5H), 2.77-2.42 (m, 4H), 1.79-1.64 (m, 6H), 1.55-1.45 (m, 3H), 1.36-1.26 (m, 3H). LCMS (ESI, m/z): 657 [M+H]⁺.

Example 13: 1,1,1,3,3,3-Hexafluoropropan-2-yl 4-(2-((1-(1-(isobutyryloxy)ethoxy)-2-methyl-1-oxopropan-2-yl)oxy)-4-(trifluoromethyl)benzyl)piperazine-1-carboxylate

Step 1: Preparation of 1-chloroethyl isobutyrate

A mixture of isobutyryl chloride (5.0 g, 0.05 mol, 1.0 equiv), ZnCl₂ (12.8 g, 0.10 mol, 2.0 equiv) and acetaldehyde (2.1 g, 0.10 mol, 1.0 equiv) in DCM (20 mL) was stirred overnight at 0° C. The reaction was quenched with water (5 mL). The resulting mixture was extracted with DCM (2×200 mL) and the combined organic layers were dried over anhydrous Na₂SO₄ and concentrated under reduced pressure to provide (6.0 g, 85%) of 1-chloroethyl isobutyrate as a brown oil.

Step 2: Preparation of 1,1,1,3,3,3-hexafluoropropan-2-yl 4-(2-((1-(1-(isobutyryloxy)ethoxy)-2-methyl-1-oxopropan-2-yl)oxy)-4-(trifluoromethyl)benzyl)piperazine-1-carboxylate

A mixture of 1-chloroethyl isobutyrate (200 mg, 1.33 mmol, 1.10 equiv) and KI (443 mg, 2.66 mmol, 2.0 equiv) in MeCN (2 mL) was stirred overnight at room temperature prior to addition of a mixture of sodium 2-(2-((4-(((1,1,1,3,3,3-hexafluoropropan-2-yl)oxy)carbonyl)piperazin-1-yl)methyl)-5-(trifluoromethyl)phenoxy)-2-methylpropanoate (100 mg, 0.19 mol, 1.00 equiv, prepared as described in Example 12) and DIPEA (48 mg, 0.37 mmol, 2.00 equiv) in EtOAc (2 mL). The resulting mixture was stirred overnight at 60° C. The reaction mixture was cooled to room temperature, quenched with water (1 mL) and concentrated under reduced pressure. The residue was purified by preparative HPLC to provide 1,1,1,3,3,3-hexafluoropropan-2-yl 4-(2-((1-(1-(isobutyryloxy)ethoxy)-2-methyl-1-oxopropan-2-yl)oxy)-4-(trifluoromethyl)benzyl)piperazine-1-carboxylate (42.6 mg, 35%) as a colorless oil. ¹H NMR (400 MHz, Chloroform-d) δ 7.59-7.48 (m, 1H), 7.36-7.24 (m, 1H), 6.95-6.82 (m, 2H), 5.83-5.69 (m, 1H), 3.85-3.39 (m, 6H), 2.66-2.38 (m, 5H), 1.77-1.59 (m, 6H), 1.49-1.41 (m, 3H), 1.18-1.08 (m, 6H). LCMS (ESI, m/z): 655 [M+H]⁺.

Examples 14-51: Examples 14-51 were Prepared by Similar Procedures as Described in Examples 1-13

NMR (¹H NMR, 300 MHz or MS Ex Name Structure 400 MHz, Chloroform-d) [M + H]⁺ 14 2-(2-Fluoro-6-((4- (((1,1,1,3,3,3- hexafluoropropan-2-yl) oxy)carbonyl)piperazin- 1-yl)methyl)-3- methylphenoxy)-2- methylpropanoic acid

(Methanol-d4) δ 7.01 (d, J = 7.6 Hz, 1H), 6.92 (t, J = 7.4 Hz, 1H), 6.19-6.13 (m. 1H), 3.81 (s, 2H), 3.68 (s, 4H), 2.74 (s, 4H), 2.26 (s, 3H), 1.52 (s, 6H) 505 15 2-(2-Fluoro-6-((4- (((1,1,1,3,3,3- hexafluoropropan-2-yl) oxy)carbonyl)piperazin- 1-yl)methyl)phenoxy)-2- methylpropanoic acid

δ 7.19-7.15 (m, 1H), 7.13- 7.04 (m, 1H), 6.99-6.96 (m, 1H), 5.77-5.68 (m, 1H), 3.74 (s, 6H), 2.60 (s, 4H), 1.63 (s, 6H). 491 16 2-(2-Chloro-6-((4- (((1,1,1,3,3,3- hexafluoropropan-2-yl) oxy)carbonyl)piperazin- 1-yl)methyl)phenoxy)-2- methylpropanoic acid

(Methanol-d4) δ 7.51-7.47 (m, 1H), 7.27 -7.24 (m, 1H), 7.14 (t, J = 7.8 Hz, 1H), 6.22-6.14 (m, 1H), 4.00 (s, 2H), 3.77 (s, 4H), 2.89 (t, J = 5.1 Hz, 4H), 1.60 (s, 6H) 507 17 2-(2-Chloro-6-((4- (((1,1,1,3,3,3- hexafluoropropan-2-yl) oxy)carbonyl)piperazin- 1-yl)methyl)-3- methylphenoxy)-2- methylpropanoic acid

δ 7.04-6.95 (m, 2H), 5.76- 5.68 (m, 1H), 3.69-3.66 (m, 6H), 2.53 (s, 4H), 2.40 (s, 3H), 1.68 (s, 6H) 521 18 2-(2-((4-(((1,1,1,3,3,3- Hexafluoropropan-2-yl) oxy)carbonyl)piperazin- 1-yl)methyl)-5- methylphenoxy)-2- methylpropanoic acid

(Methanol-d4) δ 7.02 (d, J = 7.5 Hz, 1H), 6.91 (s, 1H), 6.83 (d, J = 7.5 Hz, 1H), 5.77-5.68 (m, 1H), 3.71 (s, 2H), 3.64 (s, 4H), 2.64 (s, 4H), 2.33 (s, 3H), 1.70 (s, 6H) 487 19 2-(5-Fluoro-2-((4- (((1,1,1,3,3,3- hexafluoropropan-2-yl) oxy)carbonyl)piperazin- 1-yl)methyl)phenoxy)-2- methylpropanoic acid

δ 7.14-7.09 (m, 1H), 6.87- 6.83 (m, 1H), 6.78-6.72 (m, 1H), 5.77-5.87 (m 1H), 3.70 (s, 4H), 3.63 (s, 2H), 2.62 (s, 4H), 1.72 (s, 6H) 491 20 2-(2-((4-(((1,1,1,3,3,3- Hexafluoropropan-2-yl) oxy)carbonyl)piperazin- 1-yl)methyl)phenoxy)-2- methylpropanoic acid

δ 7.35-7.29 (m, 1H), 7.19- 7.16 (m, 1H), 7.08-7.00 (m, 2H), 5.77-5.68 (m, 1H), 3.73 (s, 6H), 2.70 (s, 4H), 1.70 (s, 6H). 473 21 2-(2-((4-(((1,1,1,3,3,3- Hexafluoropropan-2-yl) oxy)carbonyl)piperazin- 1-yl)methyl)-6- methylphenoxy)-2- methylpropanoic acid

δ 7.25-7.22 (m, 1H), 7.07- 6.98 (m, 2H), 5.77-5.69 (m, 1H), 3.72 (s, 6H), 2.58-2.54 (m, 4H), 2.37 (s, 3H), 1.58 (s, 6H). 487 22 2-(2,3-Difluoro-6-((4- (((1,1,1,3,3,3- hexafluoropropan-2-yl) oxy)carbonyl)piperazin- 1-yl)methyl)phenoxy)-2- methylpropanoic acid

δ 6.99-6.86 (m, 2H), 5.77- 5.69 (m, 1H), 3.70-3.65 (m, 6H), 2.55 (s, 4H), 1.65 (s, 6H). 509 23 2-(3-Cyclopropyl-5-((4- (((1,1,1,3,3,3- hexafluoropropan-2-yl) oxy)carbonyl)piperazin- 1-yl)methyl)phenoxy)-2- methylpropanoic acid

(Methanol-d4) δ 6.73-6.72 (m, 2H), 6.54 (s, 1H), 6.20-6.14 (m, 1H), 3.61 (s, 6H), 2.62 (s, 4H). 1.90-1.83 (m, 1H), 1.56 (s, 6H), 0.98-0.94 (m, 2H), 0.66-0.65 (m, 2H) 513 24 2-(4-Cyclopropyl-2-((4- (((1,1,1,3,3,3- hexafluoropropan-2- oxy)carbonyl)piperazin- 1-yl)methyl)phenoxy)-2- methylpropanoic acid

(Methanol-d4) δ 7.11-7.10 (m, 2H), 7.06 (s, 1H), 6.27-6.21 (m, 1H), 4.19 (s, 2H), 3.89 (s, 4H), 3.23 (s, 4H), 1.91-1.86 (m, 1H), 1.67 (s, 6H), 0.98- 0.93 (m, 2H), 0.67-0.66 (m, 2H) 513 25 2-(3-(3-Fluorooxetan-3- yl)-5-((4-(((1,1,1,3,3,3- hexafluoropropan-2-yl) oxy)carbonyl)piperazin- 1-yl)methyl)phenoxy)-2- methylpropanoic acid

(Methanol-d4) δ 7.17 (s, 1H), 7.02 (s, 1H), 6.98 (s, 1H), 6.19- 6.12 (m, 1H), 5.07-5.05 (d, J = 8.0 Hz, 1H), 5.02-5.00 (d, J = 8.4 Hz, 1H), 4.93-4.91 (d, J = 8.0 Hz, 1H), 4.87-4.86 (d, J = 6.8 Hz, 1H), 3.62 (s, 6H), 2.54 (s, 4H), 1.60 (s, 6 H) 547 26 2-(5-Cyano-2-((4- (((1,1,1,3,3,3- hexafluoropropan-2-yl) oxy)carbonyl)piperazin- 1-yl)methyl)phenoxy)-2- methylpropanoic acid

(Methanol-d4) δ 7.57-7.55 (m, 1H), 7.42-7.40 (m, 2H), 6.25- 6.18 (m, 1H), 4.13 (s, 2H), 3.80 (s, 4H), 3.06 (s, 4H), 1.71 (s, 6H). 498 27 2-(4-Cyano-3-((4- (((1,1,1,3,3,3- hexafluoropropan-2- yl)oxy)carbonyl)piperazin- 1-yl)methyl)phenoxy)-2- methylpropanoic acid

(Methanol-d4) δ 7.59 (d, J = 8.6 Hz, 1H), 7.10 (s, 1H), 6.90- 6.88 (m, 1H), 6.18-6.12 (m, 1H), 3.68 (s, 2H), 3.62-3.58 (m, 4H), 2.57-2.52 (m, 4H), 1.63 (s, 6H) 498 28 2-(2-((4-(((1,1,1,3,3,3- Hexafluoropropan-2-yl) oxy)carbonyl)piperazin- 1-yl)methyl)-5- methoxyphenoxy)-2- methylpropanoic acid

(Methanol-d4) δ 7.25-7.23 (m. 1H), 6.72 (s, 1H), 6.62-6.59 (m, 1H), 6.26-6.19 (m, 1H), 4.10 (s, 2H), 3.84-3.80 (m, 7H), 3.16 (s, 4H), 1.69 (s, 6H) 503 29 2-(2-((4-(((1,1,1,3,3,3- Hexafluoropropan-2-yl) oxy)carbonyl)piperazin- 1-yl)methyl)-5- (trifluoromethoxy) phenoxy)-2- methylpropanoic acid

(Methanol-d4) δ 7.46 (d, J = 8.4 Hz, 1H), 7.04 (s, 1H), 6.98 (d, J = 8.4 Hz, 1H), 6.26-6.19 (m, 1H), 4.15 (s, 2H), 3.83 (s, 4H), 3.14 (s, 4H), 1.70 (s, 6H). 557 30 2-(3-((4-(((1,1,1,3,3,3- Hexafluoropropan-2-yl) oxy)carbonyl)piperazin- 1-yl)methyl)-5- methoxyphenoxy)-2- methylpropanoic acid

(Methanol-d4) δ 6.56-6.53 (m, 2H), 6.42 (s, 1H), 6.18-6.12 (m, 1H), 3.76 (s, 3H), 3.61- 3.58 (m. 4H), 3.54 (s, 2H), 2.54 (s, 4H), 1.57 (s, 6H) 503 31 2-(3-((4-(((1,1,1,3,3,3- Hexafluoropropan-2-yl) oxy)carbonyl)piperazin- 1-yl)methyl)-5- (trifluoromethoxy) phenoxy)-2- methylpropanoic acid

(Methanol-d4) δ 6.94-6.90 (m, 2H), 6.71 (s, 1H), 6.18-6.12 (m, 1H), 3.62-3.59 (m, 6H), 2.53 (s, 4H), 1.61 (s, 6H). 557 32 2-(3-((4-(((1,1,1,3,3,3- Hexafluoropropan-2-yl) oxy)carbonyl)piperazin- 1-yl)methyl)-5-(oxazol- 2-yl)phenoxy)-2- methylpropanoic acid

(Methanol-d4) δ 7.99 (s, 1H). 7.65 (s, 1H), 7.49-7.48 (m, 1H), 7.30 (s, 1H), 7.10 (s, 1H), 6.19-6.12 (m, 1H), 3.65-3.61 (m, 6H), 2.57 (s, 4H), 1.64 (s, 6H) 540 33 2-(2-((4-(((1,1,1,3,3,3- Hexafluoropropan-2-yl) oxy)carbonyl)piperazin- 1-yl)methyl)-5-(pyrazin- 2-yl)phenoxy)-2- methylpropanoic acid

(Methanol-d4) δ 9.10 (s, 1H), 8.69 (s, 1H), 8.55 (d, J = 2.4 Hz, 1H), 7.84 (s, 1H), 7.72 (d, J = 7.6 Hz, 1H), 7.53-7.51 (m, 1H), 6.24-6.18 (m, 1H), 4.10 (s, 2H), 3.80 (s, 4H), 3.04 (s, 4H), 1.73 (s, 6H) 551 34 2-(3-((4-(((1,1,1,3,3,3- Hexafluoropropan-2-yl) oxy)carbonyl)piperazin- 1-yl)methyl)-5-(pyrazin- 2-yl)phenoxy)-2- methylpropanoic acid

(Methanol-d4) δ 9.07 (d, J = 1.2 Hz, 1H), 8.69-8.68 (m, 1H), 8.54 (d, J = 2.4 Hz, 1H), 7.68 (s, 1H), 7.57-7.56 (m, 1H), 7.10 (s, 1H), 6.19-6.13 (m, 1H), 3.68 (s, 2H), 3.64- 3.62 (m, 4H), 2.59 (s, 4H), 1.64 (s, 6H) 551 35 2-(3-((4-(((1,1,1,3,3,3- Hexafluoropropan-2-yl) oxy)carbonyl)piperazin- 1-yl)methyl)-4- methoxyphenoxy)-2- methylpropanoic acid

(Methanol-d4) δ 7.01 (s, 1H), 6.90 (s, 2H), 6.19-6.13 (m, 1H), 3.81 (s, 3H), 3.73-3.72 (m, 2H), 3.71 (s, 4H), 2.69 (s, 4H), 1.52 (s, 6H) 503 36 2-(3-((4-(((1,1,1,3,3,3- Hexafluoropropan-2-yl) oxy)carbonyl)piperazin- 1-yl)methyl)-4- (trifluoromethoxy) phenoxy)-2- methylpropanoic acid

(Methanol-d4) δ 7.17-7.14 (m, 2H), 6.87-6.83 (m, 1H), 6.17- 6.09 (m, 1H), 3.63-3.57 (m, 6H), 2.50-2.48 (m, 4H), 1.58 (s, 6H) 557 37 2-(2-((4-(((1,1,1,3,3,3- Hexafluoropropan-2-yl) oxy)carbonyl)piperazin- 1-yl)methyl)-5-(pyridin- 2-yl)phenoxy)-2- methylpropanoic acid

(Methanol-d4) δ 8.64 (d, J = 4.4 Hz, 1H), 7.94-7.90 (m, 1H), 7.87-7.85 (m, 1H), 7.77 (s, 1H), 7.63 (d, J = 8.0 Hz, 1H), 7.48-7.46 (m, 1H), 7.42- 7.38 (m, 1H), 6.26-6.20 (m, 1H), 4.22 (s, 2H), 3.87 (s, 4H), 3.19 (s, 4H), 1.76 (s, 6H) 550 38 2-(3-((4-(((1,1,1,3,3,3- Hexafluoropropan-2-yl) oxy)carbonyl)piperazin- 1-yl)methyl)-5-(pyridin- 2-yl)phenoxy)-2- methylpropanoic acid

(Methanol-d4) δ 8.62-8.61 (m, 1H), 7.93-7.89 (m, 1H), 7.83- 7.81 (m, 1H), 7.56 (s, 1H), 7.43 (s, 1H), 7.40-7.37 (m, 1H), 7.05 (s, 1H), 6.20-6.13 (m, 1H), 3.70 (s, 2H), 3.65-3.62 (m, 4H), 2.62 (s, 4H), 1.64 (s, 6H) 550 39 2-(3-((4-(((1,1,1,3,3,3- Hexafluoropropan-2-yl) oxy)carbonyl)piperazin- 1-yl)methyl)-4-(pyridin- 2-yl)phenoxy)-2- methylpropanoic acid

(Methanol-d4) δ 8.64 (d, J = 4.4 Hz, 1H), 8.02-7.98 (m, 1H), 7.74-7.72 (m, 1H), 7.53- 7.51 (m, 1H), 7.48-7.44 (m, 1H), 7.10-7.09 (m, 1H), 7.06- 7.03 (m, 1H), 6.24-6.17 (m, 1H), 3.95 (s, 2H), 3.72 (s, 4H), 2.90 (s, 4H), 1.63 (s, 6H) 550 40 (R)-2-(2-((4- (((1,1,1,3,3,3- Hexafluoropropan-2-yl) oxy)carbonyl)piperazin- 1-yl)methyl)-5- (trifluoromethyl)phenoxy) propanoic acid

(Methanol-d4) δ 7.59 (d, J = 7.6 Hz, 1H), 7.47 (s, 1H), 7.38 7.36 (m, 1H), 6.27-6.19 (m, 1H), 5.07-5.05 (m, 1H), 4.66 4.59 (m, 1H), 4.10-3.96 (m, 1H), 3.88 (s, 4H), 3.19 (s, 4H), 1.68-1.66 (m, 3H) 527 41 (S)-2-(2-((4-(((1,1,1,3,3,3- Hexafluoropropan-2-yl) oxy)carbonyl)piperazin- 1-yl)methyl)-5- (trifluoromethyl)phenoxy) propanoic acid

(Methanol-d4) δ 7.59 (d, J = 8.0 Hz, 1H), 7.46 (s, 1H), 7.37- 7.35 (m, 1H), 6.27-6.20 (m, 1H), 5.06-5.04 (m, 1H), 4.71- 4.61 (m, 1H), 3.99-3.96 (m, 1H), 3.88 (s, 4H), 3.19-3.12 (m, 4H), 1.68-1.66 (m, 3H) 527 42 2-(5-Fluoro-2-((4- (((1,1,1,3,3,3- hexafluoropropan-2-yl) oxy)carbonyl)piperazin- 1- yl)methyl)phenoxy)acetic acid

(Methanol-d4) δ 7.41-7.39 (t, J = 8.4 Hz, 1H), 7.05-7.03 (d, J = 10.4 Hz, 1H), 6.84-6.80 (m, 1H), 6.27-6.19 (m, 1H), 4.68 (s, 2H), 4.24-4.09 (m, 2H), 3.89-3.73 (m, 4H), 3.32- 3.04 (m, 4H) 463 43 2-(5-Cyano-2-((4- (((1,1,1,3,3,3- hexafluoropropan-2-yl) oxy)carbonyl)piperazin- 1- yl)methyl)phenoxy)acetic acid

(Methanol-d4) δ 7.58 (d, J = 7.8 Hz, 1H), 7.46 (s, 1H), 7.39 (d, J = 7.8 Hz, 1H), 6.23-6.17 (m, 1H), 4.66 (s, 2H), 4.12 (s, 2H), 3.80-3.75 (m, 4H), 3.05- 2.95 (m, 4H) 470 44 2-(3-((4-(((1,1,1,3,3,3- Hexafluoropropan-2-yl) oxy)carbonyl)piperazin- 1-yl)methyl)-5- (trifluoromethoxy) phenoxy)acetic acid

(Methanol-d4) δ 6.99 (s, 1H), 6.92 (s, 1H), 6.79 (s, 1H), 6.19- 6.12 (m, 1H), 4.67 (s, 2H), 3.80-3.50 (m, 6H), 2.56 (m, 4H) 529 45 (R)-2-(5-Cyano-2-((4- (((1,1,1,3,3,3- hexafluoropropan-2-yl) oxy)carbonyl)piperazin- 1- yl)methyl)phenoxy) propanoic acid

(Methanol-d4) δ 7.62-7.54 (m, 2H), 7.43 (d, J = 7.7 Hz, 1H), 6.28-6.20 (m, 1H), 5.05 (d, J = 6.9 Hz, 1H), 4.63 (d, J = 13.1 Hz, 1H), 3.97 (d, J = 13.1 Hz, 1H), 3.96-3.89 (m, 4H), 3.28 (s, 2H), 3.22-3.18 (m, 2H), 1.67 (d, J = 6.7 Hz, 3H) 484 46 (S)-2-(5-Cyano-2-((4- (((1,1,1,3,3,3- hexafluoropropan-2-yl) oxy)carbonyl)piperazin- 1- yl)methyl)phenoxy) propanoic acid

(Methanol-d4) δ 7.62-7.54 (m, 2H), 7.43 (d, J = 7.7 Hz, 1H), 6.28-6.20 (m, 1H), 5.05 (d, J = 6.9 Hz, 1H), 4.63 (d, J = 13.1 Hz, 1H), 3.97 (d, J = 13.1 Hz, 1H), 3.96-3.89 (m, 4H), 3.28 (s, 2H), 3.22-3.18 (m, 2H), 1.67 (d, J = 6.7 Hz, 3H) 484 47 2-(3-((4-(((1,1,1,3,3,3- Hexafluoropropan-2-yl) oxy)carbonyl)piperazin- 1-yl)methyl)-5- (trifluoromethyl)phenoxy)- 2-methylpropanoic acid

(Methanol-d4) δ 7.17-7.14 (m, 2H), 7.05 (s, 1H), 6.16-6.07 (m, 1H), 3.58-3.56 (m, 6H), 2.49-2.47 (m, 4H), 1.56 (s, 6H) 541 48 3-(2-Fluoro-6-((4- (((1,1,1,3,3,3- hexafluoropropan-2-yl) oxy)carbonyl)piperazin- 1-yl)methyl)-3- methylphenoxy)-2,2- dimethylpropanoic acid

(Methanol-d4) δ 7.00 (d, J = 8.1 Hz, 1H), 6.88 (t, J = 7.2 Hz, 1H), 6.15-6.07 (m, 1H), 4.05 (s, 2H), 3.63 (s, 2H), 3.56-3.53 (s, 4H), 2.56-2.54 (m, 4H), 2.23 (s, 3H), 1.28 (s, 6H) 519 49 1,1,1,3,3,3- Hexafluoropropan-2-yl 4- (2-((2-methyl-1-oxo-1- ((pivaloyloxy)methoxy) propan-2-yl)oxy)-4- (trifluoromethyl)benzyl) piperazine-1-carboxylate

δ 8.13-7.47 (m, 1H), 7.37- 7.29 (m, 1H), 7.13-6.94 (m, 1H), 5.90-5.82 (m, 2H), 5.82- 5.72 (m, 1H), 3.78-3.54 (m, 6H), 2.67-2.49 (m, 4H), 1.79- 1.59 (m, 6H), 1.29-1.11 (m, 9H) 655 50 1,1,1,3,3,3- Hexafluoropropan-2-yl 4- (2-((1-ethoxy-2-methyl-1- oxopropan-2-yl)oxy)-4- (trifluoromethyl)benzyl) piperazine-1-carboxylate

δ 7.59-7.45 (m, 1H), 7.35- 7.21 (m, 1H), 6.95-6.88 (m, 1H), 5.82-5.70 (m, 1H), 4.32- 4.20 (m, 2H), 3.73-3.51 (m, 6H), 2.60-2.46 (m, 4H), 1.71- 1.59 (m, 6H), 1.34-1.19 (m, 3H) 569 51 1,1,1,3,3,3- Hexafluoropropan-2-yl 4- (2-((1-(1- ((isopropoxycarbonyl) oxy)ethoxy)-2-methyl-1- oxopropan-2-yl)oxy)-4- (trifluoromethyl)benzyl) piperazine-1-carboxylate

δ 7.59-7.46 (m, 1H), 7.31- 7.19 (m, 1H), 7.01-6.96 (m, 1H), 6.87-6.79 (m, 1H), 5.82- 5.72 (m, 1H), 4.96-4.83 (m, 1H), 3.68-3.48 (m, 6H), 2.61- 2.45 (m, 4H), 1.71-1.63 (m, 6H), 1.55-1.47 (m, 3H), 1.35- 1.26 (m, 6H) 671

II. Biological Evaluation

Compounds were tested to assess their MAGL and serine hydrolase activity using the following in vitro and in vivo assays.

In Vitro Competitive Activity-Based Protein Profiling

Proteomes (mouse brain membrane fraction or cell lysates for mouse assays; human prefrontal cortex or cell membrane fractions for human assays) (50 μL, 1.0 mg/mL total protein concentration) were preincubated with varying concentrations of inhibitors at 37° C. After 30 min, FP-Rh or HT-01 (1.0 μL, 50 μM in DMSO) was added and the mixture was incubated for another 30 min at 37° C. Reactions were quenched with SDS loading buffer (15 μL—4×) and run on SDS-PAGE. Following gel imaging, serine hydrolase activity was determined by measuring fluorescent intensity of gel bands corresponding to MAGL using ImageJ 1.43u software.

Preparation of Mouse Brain Proteomes from Inhibitor Treated Mice

Inhibitors were administered to wild-type C57Bl/6J by oral gavage in a vehicle of polyethylene glycol. Each animal was sacrificed 4 h following administration and brain proteomes were prepared and analyzed according to previously established methods (See Niphakis, M. J., et al. (2011) ACS Chem. Neurosci. and Long, J. Z., et al. Nat. Chem. Biol. 5:37-44).

Compounds demonstrated activity in the assays described herein as indicated in Table 1.

TABLE 1 MAGL % inh. MAGL MAGL % inh. Example 1 μM (human) IC₅₀ (human) 5 mg/kg (mouse) 1 A **** D 2 A **** A 3 A **** A 4 A **** A 5 A **** A 6 A **** D 7 A *** 8 A *** 9 A *** 10 A ** 11 B 12 A 13 A 14 A ** 15 A ** 16 A *** A 17 A **** B 18 A *** B 19 A ** 20 A ** 21 A ** 22 A ** D 23 A ** 24 A ** 25 A ** 26 A **** 27 A ** 28 A ** 29 A *** 30 A ** 31 A *** 32 A * 33 A ** 34 A ** 35 A @ 10 μM 36 A *** 37 A ** 38 A ** 39 B * 40 A **** 41 A ** 42 A ** 43 A ** 44 A **** 45 A 46 A 47 A **** 48 A **** A 49 A 50 A 51 A **** IC₅₀ is less than or equal to 50 nM; *** IC₅₀ is greater than 50 nM and less than or equal to 100 nM; ** IC₅₀ is greater than 100 nM and less than 1 μM; * IC₅₀ is greater than or equal to 1 μM and less than or equal to 10 μM. A = % inhibition is greater than or equal to 75%; B = % inhibition is greater than or equal to 50% and less than 75%; C = % inhibition is greater than or equal to 25% and less than 50%; D = % inhibition is greater than or equal to 0% and less than 25%. 

1. A compound having the structure of Formula (I):

wherein: R¹ is H or C₁₋₆alkyl; R² is C₁₋₆alkyl; R³ is H or C₁₋₆alkyl; R⁴ and R⁵ are independently selected from H and C₁₋₆alkyl; each R⁶ is independently selected from C₁₋₆alkyl, halogen, —CN, C₁₋₆haloalkyl, —OR⁷, —C(O)NR⁸R⁹, C₃₋₆cycloalkyl, C₂₋₉heterocycloalkyl, —C₁₋₆alkyl(C₂₋₉heterocycloalkyl), and C₂₋₉heteroaryl, wherein C₃₋₆cycloalkyl, C₂₋₉heterocycloalkyl, —C₁₋₆alkyl(C₂₋₉heterocycloalkyl), and C₂₋₉heteroaryl are optionally substituted with one, two, or three groups independently selected from halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, and C₁₋₆alkoxy; each R⁷ is independently selected from H, C₁₋₆alkyl, C₁₋₆haloalkyl, and C₃₋₆cycloalkyl; each R⁸ and R⁹ is each independently selected from H, C₁₋₆alkyl, C₃₋₆cycloalkyl, aryl, and heteroaryl; or R⁸ and R⁹, together with the nitrogen to which they are attached, form a heterocycloalkyl ring optionally substituted with one, two, or three R¹⁰; each R¹⁰ is independently selected from halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, oxo, —CN, and C₃₋₆cycloalkyl; n is 1; and p is 0; or a pharmaceutically acceptable salt or solvate thereof.
 2. (canceled)
 3. (canceled)
 4. (canceled)
 5. (canceled)
 6. The compound of claim 1, or a pharmaceutically acceptable salt or solvate thereof, wherein R³ is C₁₋₆alkyl.
 7. The compound of claim 6, or a pharmaceutically acceptable salt or solvate thereof, wherein R² is —CH₃ and R³ is —CH₃.
 8. The compound of claim 1, or a pharmaceutically acceptable salt or solvate thereof, wherein each R⁶ is independently selected from C₁₋₆alkyl, halogen, —CN, C₁₋₆haloalkyl, —OR⁷, C₃₋₆cycloalkyl, C₂₋₉heterocycloalkyl, and C₂₋₉heteroaryl, wherein C₃₋₆cycloalkyl, C₂₋₉heterocycloalkyl, and C₂₋₉heteroaryl are optionally substituted with one or two groups independently selected from halogen, C₁₋₆alkyl, C₁₋₆haloalkyl, and C₁₋₆alkoxy.
 9. The compound of claim 8, or a pharmaceutically acceptable salt or solvate thereof, wherein each R⁶ is independently selected from C₁₋₆alkyl, halogen, —CN, C₁₋₆haloalkyl, —OR⁷, and C₃₋₆cycloalkyl.
 10. The compound of claim 9, or a pharmaceutically acceptable salt or solvate thereof, wherein each R⁷ is independently selected from C₁₋₆alkyl and C₁₋₆haloalkyl.
 11. The compound of claim 9, or a pharmaceutically acceptable salt or solvate thereof, wherein each R⁶ is independently selected from C₁₋₆alkyl, halogen, —CN, and C₁₋₆haloalkyl.
 12. The compound of claim 11, or a pharmaceutically acceptable salt or solvate thereof, wherein each R⁶ is independently selected from halogen and C₁₋₆haloalkyl.
 13. (canceled)
 14. (canceled)
 15. (canceled)
 16. (canceled)
 17. The compound of claim 1, or a pharmaceutically acceptable salt or solvate thereof, wherein R¹ is H.
 18. The compound of claim 1 selected from:

or a pharmaceutically acceptable salt or solvate thereof.
 19. (canceled)
 20. (canceled)
 21. The compound of claim 1 that is:

or a pharmaceutically acceptable salt or solvate thereof.
 22. The compound of claim 1 that is:

or a pharmaceutically acceptable salt or solvate thereof.
 23. The compound of claim 1 that is:

or a pharmaceutically acceptable salt or solvate thereof.
 24. The compound of claim 1 that is:

or a pharmaceutically acceptable salt or solvate thereof.
 25. The compound of claim 1 that is:

or a pharmaceutically acceptable salt or solvate thereof.
 26. The compound of claim 1 that is:

or a pharmaceutically acceptable salt or solvate thereof.
 27. The compound of claim 1 that is:

or a pharmaceutically acceptable salt or solvate thereof.
 28. The compound of claim 1 that is:

or a pharmaceutically acceptable salt or solvate thereof.
 29. A pharmaceutical composition comprising a compound of claim 1, or a pharmaceutically acceptable salt or solvate thereof, and at least one pharmaceutically acceptable excipient.
 30. A method of treating pain, epilepsy/seizure disorder, multiple sclerosis, neuromyelitis optica (NMO), Tourette syndrome, Alzheimer's disease, abdominal pain associated with irritable bowel syndrome, or attention deficit and hyperactivity disorder (ADHD) in a patient in need thereof comprising administering to the patient a therapeutically effective amount of a compound of claim 1, or a pharmaceutically acceptable salt or solvate thereof. 